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2. Today's Date*
   Today's Date
4. Contact Information
6. Group Name
7. Last Name*
8. First Name*
10. Phone Number*
11. Email*
13. Address*
14. City*
15. Zip*
17. Entertainment Information
19. Number of Performers in Group
21. Availability*

    1. Weekdays
    2. Weekday Evenings
    3. Weekends
22. Fee*

    1. $0
    2. Less than $250
    3. $250 to $500
    4. $500 to $1,000
    5. Other Amount
23. Entertainment Primarily Attracts*

    1. Children
    2. Teens
    3. Young Adults
    4. Adults
    5. Seniors
25. Brief Description of Entertainment*
27. Website
29. Genre*

    1. Family/Kids
    2. Jazz/Blues
    3. Rock/Pop
    4. Movie
    5. Theater/Comedy
    6. Classical/Band
    7. Oldies/Tribute
    8. Country
    9. Other
31. Instagram
32. Facebook
33. YouTube
34. Twitter
36. References - Location, contact name, phone number or e-mail of two venues you have played in the past year. Include one or more outdoor venues, if possible.
38. Reference Number 1
40. Reference Number 2
42. Submission of application does not guarantee acceptance.
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44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

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