* 1. Please select your preferred performance date(s) (more than one date is possible):

* 2. Please indicate the head of your performance group and a list of names of additional performers:

* 3. Please enter the lead performer's contact details:

* 4. Please indicate the style of your performance (e.g. musical performance, dance routine, art show, etc.):

* 5. Please indicate the expected duration of your performance:

* 6. Will you require any music?

* 7. Please indicate any additional special requests or requirements: