Performance Application

Name of Organization*
Name of Act
Contact Person / Title*
Address*
Street Address Address Line 2 City State ZIP Code
Day Phone*
Evening Phone
Email*
Please Describe Your Act*
Have you performed on the Family Stage before?*
- Yes
- No
Microphone and Sound Needs
- Hand-held Microphone(s)
- Wireless Microphone(s)
- Floor-stand Microphone(s)
- CD Player
- Device Input
Special Requests
Set-up Time Required (in minutes)*
Length of Performance (in minutes)*
Number of Performers*
Preferred Performance Time and Date - First Choice*
Preferred Performance Time and Date - Second Choice*
Preferred Performance Time and Date - Third Choice*
NOTE: Completing this application does NOT guarantee a performance at the Kentucky State Fair. We will contact you to confirm your time slot.

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