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Hiplet™ Performance Request Form
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* Indicates required question
Email
*
Your email
Phone Number
Your answer
What type of event is this?
*
Non Profit Organization
Education Institution/School
Wedding
Corporate Event
Other:
Name of the presenting organization?
*
Your answer
Date of performance
*
MM
/
DD
/
YYYY
Time of Performance
*
Your answer
Location
*
Your answer
Performance theme
*
Your answer
What is the requested length of performance? Please specify if requesting multiple segments
(ie. Two separate 10 minute performances).
*
Your answer
What is the performance budget?
*
Your answer
What is the flooring/stage material?
*
Your answer
What are the dimensions of the stage/performance area?
*
Your answer
Who is the projected audience? Please be a detailed as possible.
*
Your answer
Is this a school performance?
*
Yes
No
Are there private dressing rooms available for performers? If not, is it possible to create a space at the performance venue?
*
Your answer
Are there any special requests for the performance?
(ie. specific song, color scheme, etc.)
Your answer
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