DANCE FOR HURRICANE DISASTER RELIEF
WHEN: Saturday, September 17th, 2005
TIMES: 10AM - 9:30 PM
LOCATION: Montgomery Mall, Rte 202 & 309, North Wales, PA

PERFORMER SIGN UP FORM

NOTE:  Sound system and technician will be provided at each of the three stage areas.
          A dressing/staging area will also be provided for your group.
          The dance surface at the mall is tile over concrete. We hope to put down stage step vinyl
          to cover the floors where possible. You will be performing at ground level.
          Any music, presentation, costumes, etc. must be suitable for a family audience.

Your Name:
Dance Company or School:
Telephone #:
Alternate Number or Cell:
Email Address:
Your Web Site:
# of dancers presenting:
Length of time you can present:
Preferred start time:
See the current performance schedule, click here - opens in new window		 Please check the schedule before picking a time slot!!!
Space requirments:
Other set up requirments:
Please note sound will be provided.
Questions / Comments
Additional Information