PERFORMANCE REQUEST FORM

Length and variety of performances can be adapted to compliment the event or celebration in your Community.  It is our policy to commit to performances no more than 6 months in advance.

Organization Name: ___________________________________________________________________

Contact Name:______________________________________________________________________

Address:__________________________________________________________________________

Phone: ________________________________ Fax:________________________________

Performance(s) Dates: ____________________________ Time(s):_________________________

Type of function for which performance is requested: ___________________________________

Anticipated size of audience: _________________________________________________________

Length of performance(s): __________________________ Number of performances:__________________

Location of performance(s): _______________________________________________________________

Stage & Performance area information:

Floor Size __________ X __________ Surface Type __________________ Dressing Room:    Yes      No

Sound system available:            Yes      No       cassette             CD player       speakers            microphone

Travel arrangements (if applicable): ________________________________________________________

Lodging arrangements (if applicable): ______________________________________________________

Local ground transportation arrangements:  ____________________________________________________

Other Pertinent information:_______________________________________________________