Public Service Event
Booking Request Form
* PLEASE COMPLETE THIS FORM IN ITS ENTIRETY IN ORDER FOR SOUTH SIDE STEPPERS, ATL TO ACCURATELY COORDINATE ATTENDANCE OR PARTICIPATION IN YOUR EVENT. PLEASE SUBMIT THE FORM AT LEAST 1 MONTH PRIOR TO YOUR EVENT.
Date Request Submitted
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Organization
*
Organization Website
Contact Information
*
First Name
Last Name
*
Phone Number
Format: (000) 000-0000.
Email Address
Name of Event and Brief Description
*
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date of Event
Time of Event
AM
PM
AM/PM Option
Location of Event
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What type of Service are you Requesting?
*
Showcase Line Dances (about 10 minutes)
Teach Line Dances (minimum of 15 minutes)
Showcase and Teach Line Dances (minimum of 25 minutes)
How Much Time is Allotted for the Requested Service?
30 minutes or less
30 minutes - 1 hour
1 - 2 hours
*DONATIONS ARE WARMLY RECEIVED AND MUCH APPRECIATED. THANK YOU FOR YOUR SUPPORT.
Submit
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