BLUE MOON DANCE COMPANY FOOD BANK BENEFIT GALA/PERFORMER REGISTRATION
Saturday, November 22, 2008

First and last names of each person attending: ________________________________________________________________

Phone #: __________________  e-mail:__________________________

                                                                                             Number of guests (ages 14 and up) ____ x $10 = _______ 

                                                                     Number of children (ages 5 - 14) _____ x $5 = _______ 

                                                                         Number of Performers only _____ x $7 = _______ 

Total amount enclosed:                                                                                         _______

No refunds given unless event is cancelled; registrations are transferable to another person. Please notify Blue Moon if this occurs. Blue Moon Dance Company reserves the right to refuse admission to the gala at their discretion. 

Please print this form and mail it along with your check payable to: Blue Moon Dance Company  104 Southwold Drive  Cary, NC  27519

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PERFORMER REGISTRATION FORM

Thank you for your interest in performing at our benefit gala. Performance slots will be limited to one per dancer whether as a soloist or member of a troupe so that we can accommodate as many performers as possible. Time limit for performances is 5 minutes. No strewn objects, live animals or open flames are permitted! We will notify you if another dancer has selected the same piece of music. 
Please submit your PAYMENT and a FULLY COMPLETED registration form as soon as possible. This information will be used to plan and announce our sets.

Contact name: ________________________________________________

Phone: ___________________________   E-mail: _______________________________________________

Please circle: Solo    Troupe     If a troupe, how many dancers? ___________     Troupe or stage name if different from above: ________________________________________

Name of piece: _____________________________________________    Length of piece: (N.B.: time limit = 5 minutes): _________

If you will be using a prop, please indicate what type: __________________________________

Please circle if you will be starting:    ONSTAGE    OFFSTAGE

Please provide us with a short bio and description of your performance to be used for the program. Please limit it to 3 short lines. BMDC may edit this at our discretion based on time/space constraints.
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Please bring your CD with you (back-ups are always a good idea!) clearly marked with your name and the name and/or track number of the piece.  No tapes,  please!

No unauthorized videotaping. If you would like a copy of your performance, please bring a blank video tape or DVD labeled with your name and address to the gala. Due to high demand, there will be a $5 shipping and handling fee for each tape requested. One tape or DVD will be copied per troupe. You are welcome to make your own copies of the tape provided. Please allow 4 weeks for processing and delivery.

We look forward to your performance!