Highland Creek Heritage Festival
Village Entertainment Application

Group Information:
Name of Group:  _____________________________________
Number of Members in Group:  _____________________________________
Musical Style:
Country & Western Jazz Alternative
Rock & Roll Blues

Pop
Hard Rock Classical Rap / R & B
Other:____________    

Media Supplied:
CD Cassette  

Do you have a website?

URL:  _____________________________________
              Are you willing to link us to your website?    Yes     No
Contact Information:
Name:  _____________________________________
Email:  _____________________________________
Phone Number: ( _____ )   _____  - _________

Mailing Address:
Street:   _____________________________________
City:   _____________________________________
Postal Code:  ____________________________________

Do you have a website?

URL:  _____________________________________
Contact:

I, ____________________________, certify that I am authorized to speak on behalf of the above named group. Furthermore, "the group" acknowledges that I am the sole contact with the authority to enter into an arrangement with the Highland Creek Heritage Festival.

I further certify that "the group" understands that only the "Entertainment Coordinator" and I may change the arrangement.

Signed: __________________________________ Dated: _____ \ ______ \ _______
                                                                                                 DD     \    MM    \    YYYY

Please send this completed application along with your chosen media type to:

Entertainment Coordinator
Highland Creek Heritage Festival
Box 97501, 364 Old Kingston Road, Highland Creek, Ontario M1C 4Z1