Name of Group

What Does Your Group Portray & Time Period

Point of  Contact  (POC) Name

POC Street Address

POC City, State and Zip Code

POC Phone

POC Email

Number of Participants

Space Required for Setup

Special Demonstration Description  (If Any)

Will your group be camping on site? (yes/no)

If yes, please indicate ~ Dates

Would your group be available for a May 12th Alternate Rain Date (yes/no)