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Performer Application
Performer Application
Name
First
Last
Band/Performance name
Address
Address
City/Town
State/Province
- None -
Alberta
British Columbia
Manitoba
Newfoundland and Labrador
New Brunswick
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Saint Pierre and Miquelon
Virgin Islands
Phone number
Email
Tell us about your performance:
Share any links that help explain your performance, including website, social media, etc.
Select up to 3 genres/styles that best describe your performance:
Adult Contemporary
Blues
Classical
Dance
Golder Era (50's-60's)
Pop
Alternative Rock (90's-now)
Classic Rock (70's-90's)
Contemporary Country
Folk
Country
World Music
Other
Music style:
Cover
Original
Both
Sound Systems
Perform to backing tracks
Perform with instruments
Performance Type
Band
Solo performer
Performer age 0-12 years
Performer age 13-17 years
Adult
Mixed
Do you have a GST number?
Yes
No
Number of performers:
Additional information
Attach a file or photo
One file only.
32 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Personal information provided to the District of Lake Country is collected, used and disclosed in accordance with the Freedom of Information and Protection of Privacy Act (FOIPPA). Personal information is defined as recorded information about an identifiable individual, including name, phone number, or email address, and is obtained if supplied voluntarily through completing an application for a District program or service. Any personal information we ask you to provide will only be used for that purpose. Questions may be directed to Corporate Services.
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