Artists in Schools Registration Form

	Cultural Activities Center Temple, TX Artists-for-Hire Registration Form Dr. Diane Howard
	Name: _______________________________________________________________________________ Address: ________________________________________ City: __________________ Zip: _________ Daytime Phone: _______________________________ Home Phone: ___________________________ Email Address: ________________________________ SS#: ___________________________________ Fax Number: __________________________________ What is the type of performance/presentation you do? ________________________________________ What grade levels are appropriate? ________________________________________________________ How large of a class can you accommodate per performance? ___________________________________ _____________________________________________________________________________________ What are your fees (minus travel and lunch expenses) per performance? _________________________ (REMINDER: $15 from each performance will be credited to the CAC) Please specifically list days/dates/times for which you ARE available for booking: _____________________________________________________________________________________ _____________________________________________________________________________________ Please list any special equipment/props you will need from the school for your performance/presentation: _____________________________________________________________________________________ _____________________________________________________________________________________ Please read over the attached copy of last year’s presentation description for you. Make any corrections or changes necessary to reflect new performances/activities and the artist fee involved for each. Please return it with the registration form. If you have any questions, contact Terri Matthew at (254)773-9926.
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