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Performance Information   

Centerpiece-Presentations  .. Welcomes you


      You never know who's watching 

 "Always Dress Professionally Appropriate for your act, and bring your best material

 

          

 

Brief  -  Self Introduction

 

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL

 

Success "ALWAYS"  involves - Great Connectivity  

Please identify and describe yourself:

Name & info
Date of Birth
Sex Male Female

Select any of the following options that apply:

Singer                         
Jazz /Country/ Other -Trio            
4 piece or more Band  
Select - Musicians ( Instruments) 
Solo Musician   Period "Era" Music         

 Styling

60's/70's  Soul /Funk 60's /70's Rock and Roll 

60's /70's Pop/Country /Country Rock

80's -Soul -Pop -Funk - Rock & Roll

 Actor          

Actress    

Modeling 

Comedy

Dancer

Dancers

Acrobatics
Magic

Painter

Martial Arts

  Boxing - 

Fencing - Other

Other Performances 

  Short Skit Performances Poetry - Story Telling

List what "You" do, and "what" you would Like to Present


Are you part of a school or other organization - who would like to perform ?



List equipment you have

QTY DESCRIPTION

( we do not provide PA or  any performance equipment)

Enter the date you are interested in performing :

-- mm/dd/yy

Youth Groups - Must be Endorsed by an Adult !

List: responsible parties contact info


What is your aspiration ?

        


Please provide the following information:

Type Act

Modeling or Acting

Arts -Craft

Demonstrations
Self Help  Class

   "it could be You"

If you want a copy of the info you submit, please "print" before you submit form

Please - e-mail me after submission- to insure I check to collect the information. 


You may Fax us any addition info          318-603-1222    
         
Click Sheet

Music to Email


 

Copyright 2008

Revised: 07/18/09

 
 
Real Life Expressions LLC

A  Registered Louisiana Corporation,  Logo Trade Name - Since 2006 - All rights reserved