Youth Advocates, Inc.
A Positive Youth Community
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Performances
Performance Request
Please complete this form to request a performance by the YA Dance Crew.
Fields marked with * are required.
Your Name:
*
Your Email:
*
Your phone number:
*
School/Organization/Agency:
Location of Performance:
*
Address of Performance:
*
Event title/description:
Performance Time:
*
Performance Date:
*
Duration of Performance:
*
10 - 15 minutes
15 -30 minutes
30-45 minutes
1 hour
No preference
Potential number of event participants:
Presentation room/area:
Auditorium
Cafeteria
Gymnasium
Community Room
Indoor Stage
Outdoor Stage
Outside on pavement
Outside on grass
Classroom
Gallery space
Other (please describe below)
Sound System available on-site:
*
Yes
No
Type of floor in presentation room/area:
*
Wood
Tile
Carpet
Pavement
Grass
Other (please describe below)
Additional details:
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