PERFORMANCE APPLICATION

Please use this form to request a live performance by one of the Pacific Ballroom Dance performing teams.
MAKE SURE YOU FILL OUT ALL THE INFORMATION BEFORE SUBMITTING REQUEST.

CONTACT INFORMATION Your Name: Email Address: Phone Number: How did you hear about us? Choose One Student or Parent Website Friend Business Associate Search Engine Other EVENT INFORMATION Team Requested: Choose One Youth Premier Junior Premier Youth Backup Junior Backup No Preference Event Name: Date of Event: Event Location: Time of Needed Performance: Length of Performance: Choose Length 10-15 min 25-30 min 40-45 min 60+ min Other Available Sound Equipment: Choose One CD Player & Speakers CD Player, AUX input & Speakers None - Please Bring Sound System Stage Surface: Choose One Wooden Stage Concrete Carpet Wood Floor Asphalt Other Performance Space Dimensions (ft x ft):