2. Contact Information
4. First name
5. Last name
7. Organization
8. Email address
10. Mailing address
12. City
13. State
14. Zip code
16. Phone
17. Website
19. Program Information
21. Program title
22. Program type
24. Description
    Include number of performers/artists
25. Audience size limit
    if applicable
26. Length of Program
    if applicable
28. Target audience

    1. Adults
    2. Teens
    3. School-aged children

    1. Preschool children
    2. Families
    3. Other
29. Other
31. Is this a series?

    1. Yes
    2. No
32. Number of programs
33. Space requirements
35. Supplies/equipment/staff needed
36. Are you requesting a stipend or fee?

    1. Yes
    2. No

    (Professional, material, travel, etc.)
37. Amount
39. At which library locations would you like to present?

    Choose all that apply or select no preference.

    1. Hardwood Creek Library
    2. Lake Elmo Library

    1. Oakdale Library
    2. Park Grove Library

    1. R.H. Stafford Library
    2. Valley Library

    1. Wildwood Library
    2. No preference
41. References
43. Have you or your groups previously presented at a Washington County Library?

    1. Yes
    2. No
44. Have you performed before?

    1. Yes
    2. No
45. Please list last three places for reference:
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field