Lion Dance Performance Registration Form
Please complete the form below
Event
*
E-mail
*
First Name
*
Middle Initial
Last Name
*
Street Address
*
City
*
State
*
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
*
Phone (primary)
*
please input only numbers no spaces, dashs, or parenthesis
Phone (secondary)
please input only numbers no spaces, dashs, or parenthesis
Event Type
*
Corporate
Private
Non Profit
Number of Lions
*
Single Lion
Two Lions
Three Lions
Four Lions
Lion(s) Color Preference
*
Red
Gold
Green
Silver
Blue
Black
Pink
Multi-Colored
Batik
Luminous
Additional Performance
Dragon Dance
Luminous Dragon Dance
Luminous Lion Dance
Unicorn Dance
Kung Fu Demonstration
Location(s) of event(s)
please include full address
Please give a brief description of venue/performance area, approximate size, stage or floor, indoors or outdoors, desired length and any special requests.
*Required Fields