Name (first and last)

Age Range Height Weight

Hair Color Eye Color

Phone Cell Home

E-Mail Address

Street Address

City State Zip Code

How are you connected to the islands? (i.e. heritage, parent(s) raised there, etc.)


Please give a brief description of any costumes or implements you own.

What Polynesian dance / entertainment experience do you have?

Please provide a link where we can see you in action (if available)

Entertainers Galore, LLC 818-392-8870 Info@EntertainersGalore.com