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SECTION I: Applicant Information
 

  
Name: ________________________________________________________________________
  
Company: _____________________________________________________________________
  
Address 1:_____________________________________________________________________
  
Address 2: ____________________________________________________________________
  
City: _____________________ State: _____________________ Zip: ______________________
  
Country: _____________________
  
Phone: _______________________________________ • Work • Cell • Home•
  
Email: ______________________________ Website: _________________________________
  
Company Biography (May be attached separately: ______________________________________
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Artist Biography (May be attached separately): _________________________________________
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SECTION II: Project Information
  
Title of Proposed Work: __________________________________________________________
  
Type of proposed work:    Solo    Duet    Group
  
If Group, how many dancers needed? Minimum_______Maximum_______
  
Type of music (Circle): Live music Recorded music
  
Short Description of Project (125 Words): ____________________________________________
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Please list the venues where this work has been performed: ______________________________
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Total length of the proposed work: __________________________________________________
  
Minimum length of an excerpt: _____________________________________________________
  
Please mention any special technical requirements for the proposed work: __________________
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I certify that I hold all necessary rights for the submission of this entry.
  
Signature: Date:
 
   

  
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