Performance Request Form

Requesting Organization *

Contact Person *

Contact Phone Number *

Email *

Event Name *

Type of Event (Description - no symbols please - text only) *

Event Location *

Address *

Event Date * +

(MM/DD/YYYY)

Performance Time (numbers only-no symbols) * 🛈

*

am

pm

Type of Performance (All Incur A Fee) *

Musical Performance (non-speaking presentation)

Speaking Presentation with Music Performance

Workshop (instructional training - additional cost entailed)

Audience Participation (after performance)

Length of Performance *

Will PA/CD System Be Provided?

*

yes

no

Is Parking Available / Provided?

*

yes

no

Will a Dressing Room/Changing Facility Available?

*

yes

no

Is the Team Able to Distribute Team Marketing Materials?

*

yes

no

Is the Team Able to Request Donations from Audience (Adults Only)?

*

yes

no

Performance Area *

Performance Area: VERY IMPORTANT!! For jumper safety and an excpetional performance, the performance area must be large and open (30x30 minimum) - smooth flat clean surface (if outside) and a gym or multipurpose room (if inside). This area CANNOT be grassy, carpeted, unlevel or rugged. The jumpers can only perform on hard surfaces, nor portable stages. Thank you for your understanding.

Signature *

Date * +

(MM/DD/YYYY)