Empire State Performance Application

Empire State Performance Application
Group Information
Performance Group Name:
Director's Name and Title:
Group's Mailing Address:

Street Address

Street Address Line 2

CityState

Zip Code
Telephone (day):

Area CodePhone Number
Telephone (evening):

Area CodePhone Number
Email:
Fax:
Number of Performers:
Chaperones/Non Performers:
Total in Group:
Tour Company Information
Tour Company:
Tour Contact:
Company Address:
Phone:

Area CodePhone Number
Email:
Performance Group Type
Show ChoirMixed ChoirOther
Performance Date/Time Requested

(Please list dates and time in order of preference)
1.

MonthDayYear
2.

MonthDayYear
3.

MonthDayYear
4.

MonthDayYear
Times
Choose Time
Previous Performance History

(List most recent locations and dates)
Performance Selections

(Please list the songs you plan to perform at The Empire State Building)
Should be Empty:

Group Information