First Name

Last Name

Email Address

Job Title

Sponsoring Organization

Sponsoring Organization Address

Include Street, City, State and Zip

Address of Event Location (if different than above)

Include Street, City, State and Zip (if this is a virtual event, type "VIRTUAL")

How many performances?

List the number of times you would like Amanda to perform during your event.

Date(s) of Event

If you are unsure, please list months and days that would be ideal.

Start & end time(s) of event(s)

Event Title

Number of People Expected

Age Range of Attendees

Performance Location

Describe the specific location in your venue where the performance will take place. If this is a virtual event, indicate which online platform(s) you are considering.

Financial Offer (not including travel expenses)

We do not want cost to be the determining factor, but your offer will help us determine if we can fit your event into our schedule.

$

Are there any particular themes you would like Amanda to focus on?

Please list any other comments, concerns or requests.

Amanda Vernon