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YES Academy Event Booking Form

Please complete the form below.

Today's Date:
1/23/2025 5:50:08 PM

Organization Information

Organization:

Contact Person:

Email:

Cell Phone:

Home/Office Phone Number:

Other Number:

Mailing Address:

City:

State:

Zip Code:

Performance Information

Event Date:

Event Theme:

Event Requests (Duration):

If Other Selected:

Type of Songs:

If Other Selected:

Special Notes/Other Requests:

Event Audience

Age Range:

Estimated Attendance:

Access Time

Call/Setup:

Rehearsal:

Performance:

Leave:

Event Address:

Event Space Type (please select):

If Other Selected:

Holding Area - Where will the performers wait prior to performing:

Stage Type:

Please type dimensions based on your selection:

Event Tech Information
Please provide details.

Providing Tech at Location?

Handheld mics / approx. number:

Plugin capability for keyboard?

Mode of Music (USB/CD/E-Mail):

Company/Tech Name:

Company/Tech Phone Number:

Company/Tech Email Address:

Donation Information

As a thank you for the performance provided by the YES Company, we would like to support with a gift of:

Please select amount:

If Other Amount Selected:

Payment Method:

Please select:

If credit card on file selected, enter last four digits:

For Public Recognition, please use the following name:

Signature

Date (MM/DD/YYYY):

YES Academy has a limited number of performances available. A booking request does not guarantee a performance.

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