Empire State Performance ApplicationGroup InformationPerformance Group Name:*Director's Name and Title:*Group's Mailing Address: Street Address Street Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone (day):Telephone (evening):Email:* Fax:Number of Performers:Chaperones/Non Performers:Total in Group:Tour Company InformationTour Company:Tour Contact:Company Address:Phone:Email Performance Group TypePerformance Group Type Show Choir Mixed Choir Other, please specifyPerformance Date/Time Requested(Please list dates and time in order of preference)1. Date Format: MM slash DD slash YYYY 2. Date Format: MM slash DD slash YYYY 3. Date Format: MM slash DD slash YYYY 4. Date Format: MM slash DD slash YYYY Times10:00 am11:20 am12:40 am2:00 pm3:20 pm4:40 pm6:00 pm7:20 pm8:40 pm10:00 pmChoose TimePrevious Performance History(List most recent locations and dates)Performance Selections(Please list the songs you plan to perform at The Empire State Building)