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Request a Performance Date and Time: |
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| First choice:
Date________________________________ Time:___________________ |
| Second choice:
Date______________________________ Time:___________________ |
| Third choice:
Date________________________________ Time:___________________ |
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| School
Name:___________________________________ School Phone:_____________ |
| School
Address:__________________________________________________________ |
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City:____________________________________________ Zip:___________________ |
| Your
Name/Position:______________________________________________________ |
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Email:_________________________________________________________________
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| Grades
Performing for:______________________ Number of Students:_____________ |
| Performance
Space:______________________________ Today’s Date:_____________ |
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Comments/Questions or Special Needs_______________________________________ |
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______________________________________________________________________ |
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______________________________________________________________________ |