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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

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We have campuses in Western Australia, Dubai, Malaysia, Mauritius and Singapore.

Current campus:Kent Street, Bentley, Perth, Western Australia 6102

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Curtin University

Kent St Bentley WA 6102

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CRICOS Provider Code: 00301J ABN: 99 143 842 569 TEQSA: PRV12158

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Curtin University would like to pay our respect to the indigenous members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Wadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.

CRICOS Provider Code: WA 00301J

Performance enquiry form

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