***   NOTE:  ALL FIELDS ARE REQUIRED   ***

Name of Group

Contact Person First Name:  

Last Name:


Mailing Address Street:  

City/Town:  

Province:  

Postal Code:  


Phone Number

Email Address
Detailed Description of Entry (please provide as much detail as possible for best publicity)

Music Does Entry 
Play Music?

Yes     No

Does Entry Make Excessive Noise?

Yes     No


Approximate Length of Total Entry 

For further information please contact David Knight at 222-1783

     

 


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