Full Name or Primary Group Contact*

Email Address*

Phone Number*

Address*

City*

State*

Zip Code*

Age*
*If Under 18, please provide Parent or Guardian Contact Information

Parent/Guardian Contact Information
Please provide Name and Email Address

Performance Category*
National Anthem
Halftime Entertainment
In Arena Talent

National Anthem
Please check type of Anthem Performance
Instrumental
A Capella Group
Soloist
Choir
Other

Halftime Entertainment
Instrumental
Dance/Performance
Sports Demonstration
Other

What Equipment Will You Need?
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