Hiplet™ Performance Request Form
Please fill out this form in its entirety 
Sign in to Google to save your progress. Learn more
Email *
Phone Number
What type of event is this? *
Name of the presenting organization? *
Date of performance *
MM
/
DD
/
YYYY
Time of Performance *
Location *
Performance theme *
What is the requested length of performance? Please specify if requesting multiple segments (ie. Two separate 10 minute performances). *
What is the performance budget? *
What is the flooring/stage material? *
What are the dimensions of the stage/performance area? *
Who is the projected audience?  Please be a detailed as possible. *
Is this a school performance?  *
Are there private dressing rooms available for performers? If not, is it possible to create a space at the performance venue? *
Are there any special requests for the performance? (ie. specific song, color scheme, etc.)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of CMDC.

Does this form look suspicious? Report