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