Writers Block Ink's Event Request Form
Writers Block loves to perform within the local community. If you are requesting Writers Block To Perform at an upcoming event or event that you are hosting, please fill out the following request form.
Event Name *
Your answer
Who is the Host/Organization of this event? *
Your answer
Please select the duration of the requested performance *
If you are requesting more than a 30 min performance please explain *
Your answer
What is the Date of the Event and Requested Performance ? *
MM
/
DD
/
YYYY
What is the scheduled time? *
Time
:
What Style of Performance are you requesting? *
Required
Is this event appropriate for all ages? *
Please briefly describe this event.
Your answer
Will the performance be indoors or outdoors? *
Will a stage be provided? *
Will the event provide a P.A system and wireless microphones? *
Will there be a private space conveniently located for quick costume changes? *
Select an acceptable music medium.
Will there be an Emcee Host to Introduce the Writers Block Performance? *
Name of direct contact for request. *
Your answer
Contact Phone Number *
Your answer
Contact Email *
Your answer
If there is a budget, please state budget total.
Your answer
Submit
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