Contact Name____________________________________________________________________
Organization/Act Name _____________________________________________________________
Address____________________________________________Town_____________Zip_________
Phone_____________________________Cell Phone_____________________________________
Email______________________________Website address, if relevant_______________________
Type of performance_______________________________________________________________
Availability during the run of the Festival________________________________________________
________________________________________________________________________________
If you have
Brief Description of your act__________________________________________________________________________________________________________________________________________
________________________________________________________________________________
How many people are there in your group?________How long have you been performing?________
Where is your act based?___________________________________________________________
If music, please list your instumentation________________________________________________
List 3 places you have performed in the recent past_______________________________________How do you want to be listed in advertising and the Program?_______________________________________________________________________________________________________________