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Birthday Party Performer
Name
*
First
Last
Email
*
Phone
*
Performance Type
*
Pole
Aerial Silk
Lyra
Liquid Motion/Dance
Other (Please describe below)
Description (if checked the "other" field above)
Is this a group performance?
*
Yes (please tell us how many people will be involved below)
No
Number of performers (if you checked "yes" above)
Please provide a short description of you performance and what type of music you will be using.
*