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? _____________________________________________________________________________________
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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 years 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.