Dance & Drum Performances: On-line Request Form

Dance & Drum Performances: On-Line Request Form
(NOTE: We do appreciate any donations to our team to help cover the cost of travel and other expenses. Each dancer puts several hundred dollars into his outfit, so any support is greatly appreciated.)

Please read our Helpful Hints page before filling out this form.

Please fill out this form and click "Submit".

Organization Name:

Performance Type:
Dance Drum Both Dance & Drum

Length of Performance: Hours and Minutes

First Choice for Performance Date (MM/DD/YYYY):

Second Choice for Performance Date (MM/DD/YYYY):

Contact Information:

First Name:

Last Name:

Address:

City: State: Zip code:

Home Phone:

Work Phone (if available): Ext.

Cell Phone (if available):

Email Address:

Questions or Comments: