Name

First Name

Last Name

Artist Name

Date of birth (mm/dd/yyyy)

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What social justice issue is your song related to?

Pick ONE that best relates

Environmental justice/Climate change

Women's empowerment/Gender bias

LGBTQ+ rights

Racial justice

Emotional health

Peace

Other

If you selected Other in the previous question, please specify

What is the title of your song?

Place the private Soundcloud or You Tube streaming link to your unreleased song here:

Make sure lyrics are included in the description with translation if not in English.

How did you hear about us?

If you selected "Other" or "School" in the previous question, please specify.

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