Perform Live at Englewood Arts Performer's Name/Group * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact Name * First Name Last Name Contact Phone Number * (###) ### #### Contact Email Address * Share Your Online Platform Social Media, Website, or another place we can see some of your past performances. PERFORMANCE DETAILS Type of Performance * Performance Duration * Please provide three dates below that would be good for this event to take place. Date * MM DD YYYY Date MM DD YYYY Date MM DD YYYY Thank you!