Street Performers Permit Application
Contact Information
*
First Name
*
Last Name
*
E-Mail Address
*
Address (Line 1)
Address (Line 2)
*
City
*
State
*
Zip
*
Telephone Number
Alternate Telephone
Act Information
*
Name of Act
*
Description of Act --
*List of Props
*
Student?
Yes
No
*
required fields
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