Name:

Address:

City State Zip:

Phone: E-mail:

Performance Name:

Are you sending additional material via snail mail? yes no

Enter a brief description for your performance that you would like to see on the web-site:



Describe the purpose and intention of your proposed work. How does this performance embody a Heaven on Earth vibe?


Are there interactive components in your performance? How is it interactive?


Is it meant to be enjoyed during the Day or Evening?

Safety - Are there any potential safety concerns or health hazards associated with your project (due to things like project malfunction, operator error, impact of rain or wind). If so, describe them and your plan for preventing accidents:



Indicate which day is your 1st , 2nd, 3rd, choice for performance.
Friday 23rd Saturday 24th

Time of day you prefer:

Times you are unavailable:

Would you be willing to perform on the acoustic stage or at a theme camp stage? Yes No

If you have any questions or send completed form to Brooke at : brooke@windwalker.org
Send all additional materials to:
Wind Walker Learning Center
Attn: Brooke Bowhuis
Creative Expression Art Application
460 E 335 N
Mt. Pleasant, UT 84647