<p> BRAZOS VALLEY WORLDFEST 2017 PERFORMER APPLICATION</p><p>Festival Date: Saturday, November 18, 2017 10 a.m. – 4 p.m.</p><p>Name of Group______Number in Group______</p><p>Country, region or heritage group represented______</p><p>Brief description of type of performance/program ______</p><p>Contact Person Name:______</p><p>Work/Home Phone:______Cell Phone : ______</p><p>Address:______</p><p>City: ______State: ______Zip:______</p><p>E-Mail:______Website Address**: ______** for promotional purposes, Brazos Valley Worldfest can put a link to your organization/group’s website on the official festival site. By listing your website above, you authorize the festival to create this link and ensure you are willing to put a link to Brazos Valley Worldfest on your site as well. </p><p>Preferred performance time (feel free to check more than one and/or number your choices).</p><p>Saturday: morning early afternoon late afternoon no preference</p><p>Length of performance: ______Required set up time: ______</p><p>Special Requirements: ____ Amp hook ups ___# of microphones ___ Cassette tape player ____ CD player ___ Other (please state) ______Agreement: I, the undersigned, wish to participate in Brazos Valley Worldfest. As representative of the group/organization named on this form, I also agree to be responsible for any loss or damage to property or any personal injury related to my/our performance during the festival, and further release Brazos Valley Worldfest, its agents and festival staff/volunteers, Brazos County and its employees and any sponsors from any claims concerning my organization or volunteers resulting from events at the festival. I also give consent for photos/video of our performance to be used to promote the festival in the future. I understand that there is no application fee and that my/our participation is voluntary. I will expect no remuneration/ reimbursement unless specifically indicated in writing.</p><p>Signature of applicant______Date______Please return your completed applications by September 27 to: Brazos Valley Worldfest c/o Ms. Kim Fox TAMU Public Partnership & Outreach 1245 TAMU College Station, TX 77843-1245 P: 979-845-8008 F: 979-862-6705 Email: [email protected] Page 1 of 1</p>