top of page

P r o u d M e m b e r s o f

Home
Classes
Events
Performance Requests
Location
More

Use tab to navigate through the menu items.

Performance Request Form

Submit a form to secure a date and/or for more information!

Event Name or Type of Event:*

Date of Event:*

Event Location:

Country/Region*

Address*

City*

Zip / Postal code*

Organization Name:

Contact Person's First & Last Name:*

Contact's Phone:*

Contact's Email:*

I would like to request the following: (select all that apply)

Educational Portion

Audience Participation

More Information about these options.

Questions or Comments:

bottom of page