REQUEST FOR PERFORMANCE FORM
Organization Name:
*
Contact Person:
*
First Name
Last Name
Phone:
*
Format: (000) 000-0000.
Address of Requesting Organization:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email (required):
*
example@example.com
Name/Address of Performance Venue:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Type (select as many as apply)
*
Education
Arts
Social Service
Healthcare
501c3
Other
Event Type (select as many as apply)
*
Dinner
Social Gathering
Conference
Other
Event Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Time:
*
Hour Minutes
AM
PM
AM/PM Option
Est. Event Attendance:
*
Ticket Price for Event:
*
Age of Attendees/Demographics:
*
Give us a brief description of what you are envisioning of Northern Plains Dance for this event:
*
Who? (# of Dancers Needed):
*
What? (see pricing structure below)
*
New Choreography
Existing Repertoire
Interactive Performance
When? (Time NPD will be performing):
*
Where? What space is available for dancing (i.e. stage, banquet hall, gym, etc.):
*
Estimated Measurement of Performance Space:
*
Is NPD allowed to hand out marketing materials?
*
Yes
No
Do you know someone associated with NPD? If yes, their name:
*
First Name
Last Name
If so, did they refer you to us?
*
Yes
No
NPD Base Charges for a Pre-Choreographed Piece (Existing Repertoire)
If Existing Repertoire has to be re-choreographed to fit your space, time or # of dancers requested, add $25 to the above pricing. Please keep in mind that existing choreography is meant to fit the Belle stage dimensions.
New Choreography
– add $50 to the above pricing
Interactive Performance
– Dance by Chance - $150 for a 15-30 minute segment (can be tailored to your event) and 2 ½ minute finished piece with 4 performers
The audience gets to see a dance unfold before their eyes. Audience members get to spin our Wheel of Dance, and our performers will create a piece based on what the wheel lands on. (15-30 min)
Prices are a guideline. NPD reserves the right to waive fees for certain events. NPD staff will evaluate & determine final pricing on a case by case basis after form is received.
1416 E Front Avenue Bismarck, ND 58504 701.530.0986 dance@northernplainsdance.org
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