Cultural Activities Center  
Temple, TX  
Artists-for-Hire

Registration Form   


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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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