MAIL OR SUBMIT TO:
HeArt Festival Committee
Central Congregational Church
5600 Royal Lane
Dallas, Texas 75229
festcentral@gmail.com or 214-363-1300
Name: _____________________________________________________________________________________
Phone(s): ___________________________________________
E-mail: _____________________________________________
Doing business as:
_______________________________________________________________________________________
Mailing address:
_______________________________________________________________________________________
Your name (or group�s name) as you wish it listed in the program:
_______________________________________________________________________________________
Your performance is best described as (e.g. acting, dancing, acrobatics, reciting, playing an instrument):
_______________________________________________________________________________________
Instrument(s) on which you will perform (if applicable):
_______________________________________________________________________________________
State here how you would like your performance listed in the program:
_______________________________________________________________________________________
For a musical selection:
Title: ___________________________________________________________________________________
Composer/arranger, etc.: ____________________________________________________________________
For a dance selection:
Choreographer: ___________________________________________________________________________
Length of performance (duration of time):
________________________________________________________________________________________
Any known history that would be of interest to the audience (for Emcee use in intro):
________________________________________________________________________________________
________________________________________________________________________________________
Any particular needs (e.g. electrical):
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Please note that, because the number of outlets is limited, we can provide electricity for essential, functional
purposes only, not decorative.
Comments:
 
 
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Signature of Applicant