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CBGP Extravaganza - Charlotte Black Gay Pride

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Free Entertainment Application<br />

PLEASE PRINT<br />

Name of Performer/Group___________________________________________________________________<br />

Contact Person__________________________________ Phone ( ) _____________________________<br />

Mailing Address___________________________________ Cell ( ) ______________________________<br />

City/State___________________________________________________ Zip__________________________<br />

Email____________________________________________ Website________________________________<br />

Number of performers in group: ________<br />

Performance Time Requested (Must fill out all three) ________________ _______________ _______________<br />

1 st Choice 2 nd Choice 3 rd Choice<br />

Category of Entertainment<br />

_____Instrumental _____Vocal _____Dance ______Dance Studio<br />

_____Group _____Solo _____Other (specify: ___________________)<br />

Type (Please check all that apply): ___Children’s ___Country ___Folk ___Blue Grass ___R&B ___Ethnic<br />

___Pop ___Jazz ___Rock ___Comedy ___Rap ___Spoken Word ___Inspirational<br />

____Novelty Acts (i.e. Clowns, Hypnotists, Juggler, Magician, etc.) please specify:<br />

________________________________________________________________________________________<br />

___Other (please specify) ___________________________________________________________________<br />

References (Must list)<br />

1. Venue: _______________________________________________<br />

Contact Person: ________________________________________<br />

Phone Number: ________________________________________<br />

2. Venue: _______________________________________________<br />

Contact Person: ________________________________________<br />

Phone Number: ________________________________________

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