Performers Application

thank you for your interest in the festival

Please complete the application below

First name

Last Name

Phone

Street Address

City

Province

Postal Code

Phone number during Festival (if different)

Band/Dance Group Name

Number of members in your group/band

Will you be providing your own music?

Yes No

Do you need any special equipment? Sound/lighting?

Yes No

Do you require a change room?

Yes No

Do you require an honorarium? How much?

Description of the type of music/performance/dances/ regions you will be showcasing

I have read and agreed to the terms of the Rules and Regulations for the Stouffville Fusion Fest. I agree to comply with all Rules and Regulations for the Stouffville Fusion Fest.