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. Type of Program

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* 8. Equipment Performer is Providing (for Kit Creation)

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* 9. Arrowhead Library System Take and Create programs are distributed to all our public libraries, and a minimum of 1500 kits are needed. Are you able to create kits in this quantity for a Take and Create Legacy program?

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* 10. Kit Creation Time Needed

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* 11. Age of Audience kit is Intended for

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* 12. Are you able to film or record an instructional video to accompany your Take and Create Kits?

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* 13. Other comments or questions:

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