Party Form

Party Host Name *

First Name

Last Name

Phone *

(###)

###

####

Party Date *

MM

DD

YYYY

Start Time *

Hour

Minute

Second

AM PM

End Time *

Hour

Minute

Second

AM PM

Party Location *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I understand that I am responsible for providing at least a 10x10 tent if the band is not inside or in a covered or shaded area.

The band will be outside in a covered/shaded area

The band will be outside under a tent

The band will be inside

If the party is more than 120 miles from South Bend, Indiana, an additional fee of $200 will be added to the agreed upon rate. *

The party is within 120 miles of South Bend.

The party is outside 120 miles of South Bend, and we will pay the $200 fee for hotel.

A power plug will need to be provided within 20 feet of where the band is supposed to set up *

I understand and power will be appropriately provided