CULTURAL PROGRAM PARTICIPATION FORM

For further information: Contact
Sarada Akunuri @ 281-235-4334 / ICCCultural@gmail.com 
Sridar Dadi @ 281-217-9736

INDIA CULTURE CENTER, HOUSTON
6 years & up
Name of Association/Group:
Address:
City:
State:
Zip Code:
Contact Person:
Phone:
Fax:
E-mail:
Date:
Alternate Contact Person:
Phone:
Permitting ONLY Gruop performances with
Minimum 5 participants are required for each Item.
Maximum Time allowed for each Item: 4 Min.
Program Category:
Program Description:
Time:
Participants Names
Age
Participants Names
Age
01) 06)
02) 07)
03) 08)
04) 09)
05) 10)

Membership Fee = $100 (per group)

Benefits:
Half page ad [Free]

Please send your ads to bchakka@yahoo.com

Check #

(If Paying by check)

All Check to be sent to:
India Culture Center (ICC)
8888 West Belfort, Suite 210D
Houston TX 77031

Any Comments:
Program Rules:
  • Performance time slot will be based on age of performing group, content of the item, performance level & will be at the sole discretion of the organizers.
  • All items will be in groups ONLY, consisting minimum of 5 participants
  • Item Performance time will be a maximum of 4 minutes. Any item going beyond the time limit will be automatically stopped.
  • The content of the program will be reviewed by the cultural Director. Your performance must suite to the occasion. You performance can be Indian Classical or Regional Folk Dances.
  • Multiple items by the same group (participants) will not be permitted
  • There will be no duplication of the item. The song/dance number is selected will be purely on first come first served basis.
  • Certificates will be given to all Participants.
  • Parents are responsible for their children at all times.
  • Due to overwhelming response from the community to participate in the cultural program, there will be no last minute entries.

By signing this form I agree to abide by the rules set forth by the Cultural Program Committee and Director. In consideration of acceptance of this entry, I waive and release any and all claims for myself and my heirs against any member of the Cultural Program Committee and India Culture Center, Houston and sponsors of the Program for any injury or illness resulting for my participation in this event.

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