Name of Performer(s):


Name of Group (if applicable):


Interesting Biographical Information for the Master of Ceremonies to share during introduction:


Type of Performance (i.e. vocal, piano, dance, reading, comedy, etc.):


Title of music or act being performed:


Equipment Needed:
CD Player       No Yes
Piano               No Yes
Microphone(s) No Yes      Number Needed:
Chair(s)           No Yes      Number Needed:

Any other Special needs or Requests:


Contact Person:


Contact Phone Number:


Contact E-Mail:

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