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Performance enquiry form

Please complete this form if you’re interested in performing at the Curtin Bentley Campus as part of the Explore Curtin performance program.

    Contact name (required)

    Contact street address (required)

    Street address

    Address line 2

    City

    State / Province / Region

    Postal / Zip code

    Country

    Email

    Mobile phone number (required)

    Website

    Performer/group name

    Number of people in your performance/group

    Are you or any of your group members a current student at Curtin University? (required)

    YesNo

    What sort of entertainment/performance do you provide?

    You may select more than one option.

    CircusSolo musicianDJBandComedyMagic actSingerOperaDanceAlternative performanceOther

    What days are you available to perform? (required)

    MondayTuesdayWednesdayThursdayFriday

    Do you charge a fee for your performance?

    Yes (please specify below)No

    What times are you available to perform?

    Please note that normal performance times are 11 am - 1 or 2 pm on weekdays. If you are available in the evening or on weekends please include these times and days as well. We may call on you for special events.

    Please attach any promotional images or examples of your performances.

    Please provide any links to online footage of your performances.

    ABN

    Do you require power access?

    YesNo