Performance Request Form

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* Indicates required question

Full Name *

Your answer

Establishment *

Your answer

Address *

Your answer

Email Address *

Your answer

Phone Number *

Your answer

Date of the Event *

MM

/

DD

/

YYYY

Is the Date of Your Event Flexible?

Choose

Yes

No

Preferred Time for Dancers *

Morning

Afternoon

Evening

We Are Flexible

Required

What type of event are you hosting? *

St. Patrick's Day Party

Wedding

Special Occasion

Other:

Comments / Special Requests

Your answer

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