Hire 黑洞社区 Jazz Form

Please complete this form if you are interested in having a 黑洞社区 faculty or student ensemble perform at your function.

If you see this don't fill out this input box.
First Name*

Last Name*

Company/Organization

Phone Number*

Email Address*

Event Information*

Event Date*

Start Time*

End Time (Approximate)*

Event Address*

Type of Performer/Group Requested*

Approximate Budget

Approximate travel time from Wichita State

If needed, is a piano available?*

Is a professional sound system available?*

Is power available for amplification?*

Additional Information/Comments