Performers Application

Arts Awards Ceremony & Stage Performance
June 2012 at Centre In The Square

Waterloo Region artists are encouraged to develop collaborative (more than one artistic genre/group) and innovative performances which will be reviewed and considered by the Entertainment Committee.

Please complete the requested information which will be forwarded to the committee.

PARTICIPANTS' REQUIREMENTS
Name of Group
Name(s) of Participant(s)
Address
Telephone #
Fax #
Performance Length
Set-up Time
Approximate Space Needed
Dressing Room Space (check one)
	Male Female Both
Sound Equipment Needs
Does your activity have any other requirements? (chairs, etc.)
Electricity (check one)
	No Yes
If yes, # of outlets?
Voltage?
Publicity: The following information will be used to produce a program, advertisements and related promotional material.
1. Please send a BIOGRAPHY (not exceeding 40 words) about you and/or your group.
2. Please write a DESCRIPTION OF ACTIVITY that you and/or your group will present at the Arts Awards Ceremony.
Complete by: December 10
Name of Contact
Enter Nothing: