July 14, 2012

Winthrop Performing Arts Center

Winthrop, Maine 04364

Choreographer Application

Name of company:_______________________________________________________

Address:________________________________________________________________

Daytime Phone:_________________________ Evening Phone:____________________

Email:_______________________website:____________________________________

Name of choreographer(s):_________________________________________________

Name of dancer(s):________________________________________________________

______________________________________________________________________________________

Small to Large group numbers preferred — Pieces limited to 5 minutes

Title of work: ___________________________________________________________

Music:__________________________________________________________________

Will need to be emailed or forwarded to music director 2 weeks prior to performance

Please share the story & inspiration for your piece.

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

All submissions will be reviewed by the Live & Dance Strong Advisory Board and

selections will be made prior to June 15

Please return postmarked no later than June 1, 2012

Live and Dance Strong 2012
Attn: Melanie E. Randall
128 Water Street
Hallowell, Maine 04347.