EmailMe Form - Performance Request

Event/Program Name *

Contact Person
Name *

Contact Person
Phone *

Contact Person
Email *

Contact/Company

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Venue (where will the program be held) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Requested Date #1 *

MM / DD / YYYY HH : MM AM/PM

Requested Date #2

MM / DD / YYYY HH : MM AM/PM

What program length is desired - how many minutes?

What is the theme and purpose of the event?

How many in attendance do you anticipate for the event?

Is there a hard-surfaced stage?

YES

NO

If there is no traditional stage, what is the surface type where the dancers will perform?

What are the approx. dimensions of the performance area?

Is the stage area elevated?

YES

NO

Do you have a microphone?

YES

NO

Will an emcee (announcer) be available to read the introduction to each of our routines? (We provide the script.)

YES

NO

Is there a changing/dressing room immediately adjacent to the stage?

YES

NO

Please provide details regarding changing/dressing room. (ex: how far from performing area, etc).

Do you intend to provide an honorarium for the Dallas Tap Dazzlers? We are a 501 (c) (3) non-profit organization. We appreciate honorariums for the continued success and growth of our organization. (If so, please indicate the amount you intend to donate so that we may provide a W-9 for tax purposes.)

How did you hear about the Dallas Tap Dazzlers?

OTHER INFORMATION you would like to share with us.