February 11, 2024 Kate Glenn 27th Annual Fiesta Entertainment Application Please fill out the Entertainment Application Below Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name of Act, Group or Individual: *Description of Act/Performance: *Stage Requirements: *(Note: Each stage will have a sound system with microphones and mp3 player) Contact Name: *FirstLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCell Phone *Email *EmailConfirm EmailPerformer InformationTotal Number of Performers *Age Range of Performers *Maximum number of performers on stage at one time *Requested performance time: *(Time of day 12 pm to 5:30 pm)Total Performance Time: *(Although we can’t promise to fill this request we will try to schedule you at, or close to your request time.)Liability Release Statement *I AgreeVendor shall indemnify, defend, and hold harmless the Peñasquitos Town Council, and its respective board members, their officers, employees, agents, representatives and volunteers from and against any and all liability, loss, damage, expense, costs (including without limitation costs and fees of litigation) of every nature arising out of or in connection with Vendor’s activities of any nature associated with the Fiesta de Peñasquitos hereunder or its failure to comply with any of its obligations under state or local law, except for such claims for loss or damage which are caused by the sole negligence and/or willful misconduct of the Peñasquitos Town Council and/or its members, agents, employees or volunteers. Signature * Clear Signature PasswordCommentSubmit