Performer Certificate

Please use proper name capitalization.
List any additional active members that you would like to add to this certificate.
Please type only one email.

Certificate Holder

Venue where you are performing

Please Enter "2" Letter State Code
Attach a File (Insurance Guidelines, Sample Certificates, Venue Information)
Files must be less than 512 KB.
Allowed file types: txt doc docx xls xlsx pdf jpg jpeg gif png.
Format: xxx-xxx-xxxx
Date Needed - Click in box for popup calendar
E.g., 2015-04-01

Vertical Tabs