US Road Sports

Entertainment Submission Form
RequiredRequired Question(s)
Required 1.

Name of group/performer:

 

50 characters left.
Required 2.

Primary contact name:

 

50 characters left.
Required 3.

Address:

 

50 characters left.
Required 4.

City:

 

50 characters left.
Required 5.

State:

 

50 characters left.
Required 6.

Zip:

 

50 characters left.
Required 7.

Phone:

 

50 characters left.
Required 8.

Phone (day of event):

 

50 characters left.
Required 9.

Email:

 

50 characters left.
Required 10.

Website:
myspace or facebook acceptable

 

50 characters left.
Required 11.

Number of people in group:

 

50 characters left.
12.

Please identify any other needs or concerns.

 

350 characters left.
Required 13.

How should your group be identified in print?

 

50 characters left.
Required 14.

Briefly describe your entertainment (i.e. gymnastics group, heavy metal band, country music, rock and roll, etc.):

 

350 characters left.
15.

Do you know others who might want to perform? If so, please provide his/her name and contact information:

 

350 characters left.