Event Proposal Form

Name *

First

Last

Name of Organization

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Please enter your email, so we can follow up with you.

Name of Event: *

Type of Event: *

If other, please describe:

Intended Audience (check all that apply): *

Event Description (350 Words) *

Length of the Event *

Equipment Needed (check all that apply)

If other, please describe:

Are you providing this program as a community service? *

If not, what is the cost associated with this program?

Link to your website:

Past Performances / Programs / Referrals: *