Event Attendee Statistics Form

Name *

First

Last

Email *

Event Name *

Location of Event *

Type of Event *

Date / Time of Event *

Date

Time

Names of Groups Performing *

Names of other NCCMI students attending *

Total Audience # *

Total Student Performers # *

Percentages are estimates to the best of your ability.

% of Audience Disabled (wheelchairs, hearing aids, visual impairments, etc.) *

Percentages are estimates to the best of your ability.

% of Audience Preschool to High School *

% College *

% Adults *

% Senior *

Percentages are estimates to the best of your ability.

% American Indian / Alaska Native *

% Asian (East & South) / Asian American *

% Black / African American *

% Hispanic / Latinx *

% Mixed Race *

% Native Hawaiian / Pacific Islander *

% Caucasian / White *

% Other Ethnicity & Specify *

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