(Applications DUE October 19th)
Contact Name:
Address:
City, State, Zip:
Phone Number: day: _________________ eve: ____________________
Email Address:
Name of Group/Act (spelled as you would like it to appear in the program.):
Number of Womyn in Group_______and their Names:
(This is your only opportunity to include womyn in your act. There will be NO additions after this is returned. NO EXCEPTIONS.)
Thorough Description of your Act:
KGP is able to provide sound and lighting. We have limited access to microphones. Anything beyond our capabilities will need to be discussed with the Stage Manager. (226-9997)
Number of mics needed:
Additional technical equipment needs:
May we have permission to use your or your group's name in media coverage, advertising, general publicity or on the Kissing Girls website? Yes No
May we have permission to use a photograph of you or your group in media coverage, advertising, general publicity or on the Kissing Girls website? Yes No
May we have permission to video tape your act for archival purposes only (not for sale or reproduction)? Yes No
Demographic Information (Optional, but will be considered during the selection process in order to assist in the development of as diversified a program as possible).
Do You/All Group Members define yourself as Lesbian?
YES__________ NO__________
Age(s):
Race(s)/Ethnicity:
Differently Abled: YES__________ NO__________ Please describe (include information about any assistance you might need in order to help make your Variety Show participation easier).
Are you a past Lesbian Variety Show participant? YES__________ NO__________
If yes, the names of groups/participant and dates of participation
Other information you'd like us to consider in the review process:
Thank you for applying to the Lesbian Variety Show Weekend. Please return this application to KG, PO Box 6091, Madison, WI 53716.
IMPORTANT DATES !!!
This application is DUE BY October 19th