Performance Group Sign-up Request Form Festival of Cultures

This form is to request a performing group to sign-up for the Conant and Douglas Akiko Sensei Festival of Cultures 2018 on Saturday April 28 2017. Please submit by February 24 so the emcees can start working on their scripts.
Performances will be limited to 1 performance of the same type (dance, music...) per country in order to have representation from as many countries as possible. If there are multiple sign-ups for the same country, you will be contacted to check whether the performances can be combined or an alternative solution found.
Group Name *
Name of Organization or Group
Your answer
Main Contact Point Name *
Each performance group MUST have an adult who is willing to be responsible for the performers and performance. This person will be the MAIN POINT OF CONTACT for the Performance Co-chair, and all necessary information will be conveyed to this person. He/She will be responsible for passing the information along to performers and performers’ parents.
Your answer
Main Contact Point Email *
Your answer
Main Contact Point Phone Number *
Your answer
Country *
Originating country of the performance
Your answer
Performance Type *
Dance, Music, ...
Your answer
Description of the Performance *
Short description of the performance.
Your answer
Rough Estimate of Expected Number of Participants *
Preferably groups of 6+ people
Your answer
Rough Estimate of % Participants that are from Douglas/Conant *
Your answer
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