Book: The Kim Michelle Experience

Booking Request

Information in the following sections marked with an asterisk (*) are required to submit this form. If you need immediate attention: Brandi@KimMichelleExperience.com or (202) 670-0601.
Your Full Name*

First NameLast Name
Organization
E-mail*
example@example.com
Phone Number*
Are you a non-profit organization?*

YesNo
Please be aware that this serves as an offer only. This DOES NOT constitute a contract for the Artist/Talent Appearance. It will assist us in making the best decision possible while doing all that we can to meet your request.
Budget for Talent *
Your request will not be considered without including a dollar amount
Event Name*
Sound Provided by*
Name of Venue*
Venue Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you providing Sound/Backline*
Choice for Sound/Backline Company
Name of Sound/Backline crew/company*
Sound and backline are not included.
Date of Event*

MonthDayYear
Date
Hour MinutesAM/PM Option
Time of Talent Appearance*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Access Time for Setup*

Hour Minutes

AM/PM Option
Access Time for Strike/Exit*

Hour Minutes

AM/PM Option
Venue Capacity*
Please acknowledge and confirm the following before your submission.*

Agree to use ONLY approved photos, headshots, or collateral.A deposit of 50% is required to confirm booking date.Balance is due and payable the day of show, prior to talent taking the stage.By clicking submission, you acknowledge you have read and agree to the technical rider and stage plot provided here.
Stage Plot & Technical Rider
List Other Talent Appearing on Show*

0/150
Any other questions or comments detail here (include additional contacts)
Check for Errors and Submit

Please note that submitting this form does not guarantee your event. Only once a contract has been created and signed plus a deposit received will your event be confirmed. After submitting this form, we will be in touch with you by e-mail and/or via phone.
Should be Empty:

Booking Request

Check for Errors and Submit