Please review the following information and submit your proposal in this survey. Answer the questions as completely and thoroughly as possible. You will be contacted if your submitted program meets our guidelines and fits into our programming needs, schedule, and budget. Due to volume, we are unable to respond to all program submissions.

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* 1. Performer/Artist Name

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* 2. Email Address

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* 3. Home Address

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* 4. Phone Number

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* 5. Program Name

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* 6. Program Description (Please include skill level if needed to participate. Please note that this is the description that will be used in our PR materials, if selected.)

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* 7. Length of Program

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* 8. Type of Program

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* 9. Equipment Performer is Providing

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* 10. Equipment Library Needs to Provide

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* 11. Is access to a power outlet needed for your performance?

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* 12. Number of People Performing or Supporting the Performer

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* 13. Minimum Amount of Space Needed (Please note if you need certain dimensions for your event like ceiling height, etc.)

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* 14. Maximum Number of Attendees

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* 15. Set-Up Time Needed

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* 16. Tear-Down Time Needed

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* 17. Are you able to perform outside?

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* 18. Age of Audience program is intended for:

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* 19. Do you allow full Video Recording of your program for Public Access TV?

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* 20. Will you be selling products?

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* 21. Other comments or questions:

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