Performance/Music Class Request
Please complete all requested information to ensure we are able to meet your performance needs. We will contact you in 1-3 business days to review your request, dates, and potential performers. Once a reservation and/or registration is confirmed, you will receive an invoice (with relevant discounts applied, W9, CH&V logo, and performer/instructor bio for your marketing purposes.
Thank you for choosing Caring Hearts & Voices to serve your community with our music!
City, State, Zip
Preferred Performance Date(s)
Classic Country (20s-60s)
Contemporary Pop Christian (2000s - today)
Disney Favorites (40s-2000s)
Disney Favorites (2000s - today)
Golden Oldies (40s-60s)
Golden Oldies Sing A Long!
Holiday Hits (50s-today)
Show Tunes (30s-60s)
Singer/Songwriter (All Originals!)
Sound of Music Sing A Long!
Traditional Christmas Carols
Special Request (i.e. "must have"/"absolute no" songs, birthdays, anniversary, etc.)
Entertainment & Sound Needs (this helps us plan what equipment we will need, and stage arrangements.)
Entertainment [NO SOUND PRODUCTION] Sound provided by venue/host
Entertainment & Sound Production up to 20 guests
Entertainment & Sound Production up to 50 guest
Entertainment & Sound Production up to 100 guests
Entertainment & Sound Production up to 150 guests
Entertainment & Sound Production up to 200 guests
Entertainment & Sound Production 200+ guests (Additional rates apply)
Sound Equipment [NO ENTERTAINMENT}
Specialized Interactive Performance (Assisted Living/Memory Care/Rehabilitation Facility) up to 50 guest
Type of Venue
Assisted Living (Adults with Disabilities)
Assisted Living (Seniors)
Assisted Living & Memory Care Center
Memory Care (Stand Alone)
Memory Care (Partnered with Neighboring Facility)
Senior Community Center (attached to park district)
Vulnerable Populations (Hospital, Hospice, Homeless) - N.C.
Not For Profit (20% Discount)
Is this your first Caring Hearts & Voices Performance?
How did you hear about Caring Hearts & Voices?
Entertainment Fair/Talent Showcase
Performance in another facility
Referral (let us know who to thank!)
Social Media (Facebook, Twitter, Instagram)
Send me a copy of my responses.
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This form was created inside of Caring Hearts and Voices.