Primary Contact *

First Name

Last Name

Phone Contact *

(###)

###

####

Date of Performance *

MM

DD

YYYY

Show Time *

What time do you want us to be on stage?

Hour

Minute

Second

AM PM

Address of Performance *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have microphones (on stands) available to use? *

Yes

No

Is the stage elevated or on the floor?

Elevated

Floor

Do you have a projection or AV screen on stage?

Yes

No

Is this an indoor or outdoor event? *

Indoor

Outdoor

Is there parking available at the venue? *

Yes

No

Young, Gifted, and Black is a non-profit 501(c)(3) that is supported mostly by grants, donations, and honorariums. We often use our performances as fundraising opportunities. Can we promote our fundraiser at this performance? *

Yes

No