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* 1. Name of event organizer

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* 2. Contact information

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* 3. Organization (if applicable)

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* 4. Date & Time event begins

Date / Time

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* 5. Time of actual performance

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* 6. Venue + City, State

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* 7. Type of event

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* 8. Performance options: Choosing from the options listed below, please write which and how long you would like each segment to be scheduled (you may combine options):

- 5-30 minute dance performance 
- 30-60 minute lei-making station
- 30-60 minute dance workshop (may have multiple)

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* 9. Expected attendance:

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* 10. How did you hear about us?

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