Applicant's Legal Name:

Organization/Company:

City:

State:

Zip:

Phone:

Email:

Contact's Phone:

Type of Act/Entertainment:

Hourly Rate:

Please note: this is an application & does not guarantee or confirm a contract with PRIDE Cape Coral as an entertainer for the event. After board review & approval, a decision will be made. If considered, a representative will be in contact.

Signature of the applicant listed above:

Date: