KISSING GIRLS PRODUCTIONS, INC.
POETRY APPLICATION
P.O. BOX 6091
MADISON, WI 53716
(608) 226-9997
2001 Lesbian Variety Show Weekend &"I Got This Way From Kissing Girls 15th Year!!"
(Applications DUE October 19th)

Contact Information
 Your Email Address  
 Contact Name  
 Street Address  
 City  State Zip Code
 Phone Number(Day)   (Eve)

Performer Information
Name spelled as you would like it to appear in the program
Description of your poetry and/or information about yourself you'd like shared in your introduction

Technical Information: 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:
Keep in mind you need to limit your reading to approximately ten minutes.

Releases
May we have permission to use your 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 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:

Important Dates: This application is DUE BY October 19th.

Submit: Thank you for applying to the Kissing Girls Production Poetry Reading.
 

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