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Performer Submission Form
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Name of Program *
Program Description *
What age demographic is this program geared towards? *
Maximum Number of Participants *
Minimum Number of Participants *
Is there any specific A/V equipment you will require? *
If you require A/V equipment, please note here:
Day(s) available to facilitate program *
Time(s) available to facilitate program *
Name of Organization, Group or Individual who will be facilitating program *
Contact Name(s) / Person(s) Responsible *
Contact Email *
Contact Phone *
If we decide to contact you, what is the best way of reaching you?
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Is there a fee attached to this program? *
If there is a fee attached, please include here *
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