Deep Space Boutique Panelist or Entertainer

User information

• First name
• Last name
• Email
• Gender
• Birthday
• Address

Additional information

• What are you submitting? (i.e. panel, performance, entertainer, etc)
• Number of Performers (if applicable)
• Name (stage name or pseudonym) or Troupe Name
• Your Pronouns
• Contact Email
• Contact Phone Number
• Date of Birth
• Brief Biography
• Social Media Links
• Website
• Brief Act Description
• Please attach photos of your set up or performance
• Photo of Your ID
• Additional Information
• Are you also interested in a booth in the Deep Space Boutique? (to either sell items or promote your brand)