<h1>HIRE US</h1>		
							<h4>
				ORCHID CITY BRASS BAND				</h4>
			<h4>booking requests</h4>		
		<p>Would you like to have the <b>Orchid City Brass Band</b>&nbsp;perform during your concert season or participate at your upcoming event? We strive to make our interactions pleasant and easy in order to ensure the best possible performance.&nbsp;</p>
<p>Your audience can expect a unique and engaging concert experience that features a diverse repertoire, breathtaking artistry, and leaves everyone enriched, inspired, and entertained.</p>		
			<h4>booking request form</h4>		
		<p>Please complete this <b>Booking Request Form</b> to tell us about your event and what is needed from us. A team member will promptly follow up with you once we have received your form. Thank you for your consideration!</p>		
                <form method='post' enctype='multipart/form-data' target='gform_ajax_frame_4' id='gform_4'  action='/wp-admin/admin-ajax.php#gf_4' data-formid='4' novalidate>
        	<p>Step 1 of 3 - Contact Information
        	</p>
                33%
                                    <fieldset id="field_4_7"   data-js-reload="field_4_7"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Contact name(Required)</legend>
                                                    <select name='input_7.2' id='input_4_7_2'    aria-required='false'   >
                          <option value=''>Prefix *</option><option value='Dr' >Dr</option><option value='Miss' >Miss</option><option value='Mr' >Mr</option><option value='Mrs' >Mrs</option><option value='Ms' >Ms</option><option value='Prof.' >Prof.</option><option value='Rev.' >Rev.</option>
                      </select>
                                                    <label for='input_4_7_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Prefix</label>
                                                    <input type='text' name='input_7.3' id='input_4_7_3' value=''   aria-required='true'   placeholder='First name *'  />
                                                    <label for='input_4_7_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First</label>
                                                    <input type='text' name='input_7.6' id='input_4_7_6' value=''   aria-required='true'   placeholder='Last name *'  />
                                                    <label for='input_4_7_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last</label>
                        </fieldset><label class='gfield_label gform-field-label' for='input_4_8' >Email address(Required)</label>
                            <input name='input_8' id='input_4_8' type='email' value='' class='large'   placeholder='Email *' aria-required="true" aria-invalid="false"  />
                        <label class='gfield_label gform-field-label' for='input_4_9' >Daytime phone *(Required)</label><input name='input_9' id='input_4_9' type='tel' value='' class='large'  placeholder='Daytime phone *' aria-required="true" aria-invalid="false"   /><label class='gfield_label gform-field-label' for='input_4_40' >Evening (alternate) phone</label><input name='input_40' id='input_4_40' type='tel' value='' class='large'  placeholder='Evening (Alternate) Phone'  aria-invalid="false"   /><label class='gfield_label gform-field-label' for='input_4_77' >Best Time to Call</label><input name='input_77' id='input_4_77' type='text' value='' class='large'    placeholder='Best Time to Call'  aria-invalid="false"   /> 
                         <input type='button' id='gform_next_button_4_18' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery("#gform_target_page_number_4").val("2");  jQuery("#gform_4").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_4").val("2");  jQuery("#gform_4").trigger("submit",[true]); } ' /> 
                        <label class='gfield_label gform-field-label' for='input_4_43' >Organization Name *(Required)</label><input name='input_43' id='input_4_43' type='text' value='' class='large'    placeholder='Organization Name *' aria-required="true" aria-invalid="false"   /> <fieldset id="field_4_44"   data-js-reload="field_4_44"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address(Required)</legend>    
                                        <input type='text' name='input_44.1' id='input_4_44_1' value=''   placeholder='Street Address *' aria-required='true'    />
                                        <label for='input_4_44_1' id='input_4_44_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label>
                                        <input type='text' name='input_44.2' id='input_4_44_2' value=''   placeholder='Address - Line 2'  aria-required='false'   />
                                        <label for='input_4_44_2' id='input_4_44_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2</label>
                                    <input type='text' name='input_44.3' id='input_4_44_3' value=''   placeholder='City' aria-required='true'    />
                                    <label for='input_4_44_3' id='input_4_44_3_label' class='gform-field-label gform-field-label--type-sub '>City</label>
                                        <select name='input_44.4' id='input_4_44_4'     aria-required='true'    ><option value='' >State</option><option value='Alabama' >Alabama</option><option value='Alaska' >Alaska</option><option value='American Samoa' >American Samoa</option><option value='Arizona' >Arizona</option><option value='Arkansas' >Arkansas</option><option value='California' >California</option><option value='Colorado' >Colorado</option><option value='Connecticut' >Connecticut</option><option value='Delaware' >Delaware</option><option value='District of Columbia' >District of Columbia</option><option value='Florida' selected='selected'>Florida</option><option value='Georgia' >Georgia</option><option value='Guam' >Guam</option><option value='Hawaii' >Hawaii</option><option value='Idaho' >Idaho</option><option value='Illinois' >Illinois</option><option value='Indiana' >Indiana</option><option value='Iowa' >Iowa</option><option value='Kansas' >Kansas</option><option value='Kentucky' >Kentucky</option><option value='Louisiana' >Louisiana</option><option value='Maine' >Maine</option><option value='Maryland' >Maryland</option><option value='Massachusetts' >Massachusetts</option><option value='Michigan' >Michigan</option><option value='Minnesota' >Minnesota</option><option value='Mississippi' >Mississippi</option><option value='Missouri' >Missouri</option><option value='Montana' >Montana</option><option value='Nebraska' >Nebraska</option><option value='Nevada' >Nevada</option><option value='New Hampshire' >New Hampshire</option><option value='New Jersey' >New Jersey</option><option value='New Mexico' >New Mexico</option><option value='New York' >New York</option><option value='North Carolina' >North Carolina</option><option value='North Dakota' >North Dakota</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Ohio' >Ohio</option><option value='Oklahoma' >Oklahoma</option><option value='Oregon' >Oregon</option><option value='Pennsylvania' >Pennsylvania</option><option value='Puerto Rico' >Puerto Rico</option><option value='Rhode Island' >Rhode Island</option><option value='South Carolina' >South Carolina</option><option value='South Dakota' >South Dakota</option><option value='Tennessee' >Tennessee</option><option value='Texas' >Texas</option><option value='Utah' >Utah</option><option value='U.S. Virgin Islands' >U.S. Virgin Islands</option><option value='Vermont' >Vermont</option><option value='Virginia' >Virginia</option><option value='Washington' >Washington</option><option value='West Virginia' >West Virginia</option><option value='Wisconsin' >Wisconsin</option><option value='Wyoming' >Wyoming</option><option value='Armed Forces Americas' >Armed Forces Americas</option><option value='Armed Forces Europe' >Armed Forces Europe</option><option value='Armed Forces Pacific' >Armed Forces Pacific</option></select>
                                        <label for='input_4_44_4' id='input_4_44_4_label' class='gform-field-label gform-field-label--type-sub '>State</label>
                                    <input type='text' name='input_44.5' id='input_4_44_5' value=''   placeholder='ZIP' aria-required='true'    />
                                    <label for='input_4_44_5' id='input_4_44_5_label' class='gform-field-label gform-field-label--type-sub '>Zip/ Postal Code</label>
                                <input type='hidden' class='gform_hidden' name='input_44.6' id='input_4_44_6' value='United States' />
                </fieldset><label class='gfield_label gform-field-label' for='input_4_46' >Venue Name</label><input name='input_46' id='input_4_46' type='text' value='' class='large'    placeholder='Venue Name'  aria-invalid="false"   /> <fieldset id="field_4_45"   data-js-reload="field_4_45"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Address</legend>    
                                        <input type='text' name='input_45.1' id='input_4_45_1' value=''   placeholder='Street Address' aria-required='false'    />
                                        <label for='input_4_45_1' id='input_4_45_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address</label>
                                        <input type='text' name='input_45.2' id='input_4_45_2' value=''   placeholder='Address - Line 2'  aria-required='false'   />
                                        <label for='input_4_45_2' id='input_4_45_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2</label>
                                    <input type='text' name='input_45.3' id='input_4_45_3' value=''   placeholder='City' aria-required='false'    />
                                    <label for='input_4_45_3' id='input_4_45_3_label' class='gform-field-label gform-field-label--type-sub '>City</label>
                                        <input type='text' name='input_45.4' id='input_4_45_4' value=''     placeholder='State' aria-required='false'    />
                                        <label for='input_4_45_4' id='input_4_45_4_label' class='gform-field-label gform-field-label--type-sub '>County / State / Region</label>
                                    <input type='text' name='input_45.5' id='input_4_45_5' value=''   placeholder='ZIP' aria-required='false'    />
                                    <label for='input_4_45_5' id='input_4_45_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP / Postal Code</label>
                                        <select name='input_45.6' id='input_4_45_6'   aria-required='false'    ><option value='' selected='selected'>Country</option><option value='Afghanistan' >Afghanistan</option><option value='Albania' >Albania</option><option value='Algeria' >Algeria</option><option value='American Samoa' >American Samoa</option><option value='Andorra' >Andorra</option><option value='Angola' >Angola</option><option value='Anguilla' >Anguilla</option><option value='Antarctica' >Antarctica</option><option value='Antigua and Barbuda' >Antigua and Barbuda</option><option value='Argentina' >Argentina</option><option value='Armenia' >Armenia</option><option value='Aruba' >Aruba</option><option value='Australia' >Australia</option><option value='Austria' >Austria</option><option value='Azerbaijan' >Azerbaijan</option><option value='Bahamas' >Bahamas</option><option value='Bahrain' >Bahrain</option><option value='Bangladesh' >Bangladesh</option><option value='Barbados' >Barbados</option><option value='Belarus' >Belarus</option><option value='Belgium' >Belgium</option><option value='Belize' >Belize</option><option value='Benin' >Benin</option><option value='Bermuda' >Bermuda</option><option value='Bhutan' >Bhutan</option><option value='Bolivia' >Bolivia</option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba</option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina</option><option value='Botswana' >Botswana</option><option value='Bouvet Island' >Bouvet Island</option><option value='Brazil' >Brazil</option><option value='British Indian Ocean Territory' >British Indian Ocean Territory</option><option value='Brunei Darussalam' >Brunei Darussalam</option><option value='Bulgaria' >Bulgaria</option><option value='Burkina Faso' >Burkina Faso</option><option value='Burundi' >Burundi</option><option value='Cambodia' >Cambodia</option><option value='Cameroon' >Cameroon</option><option value='Canada' >Canada</option><option value='Cape Verde' >Cape Verde</option><option value='Cayman Islands' >Cayman Islands</option><option value='Central African Republic' >Central African Republic</option><option value='Chad' >Chad</option><option value='Chile' >Chile</option><option value='China' >China</option><option value='Christmas Island' >Christmas Island</option><option value='Cocos Islands' >Cocos Islands</option><option value='Colombia' >Colombia</option><option value='Comoros' >Comoros</option><option value='Congo' >Congo</option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the</option><option value='Cook Islands' >Cook Islands</option><option value='Costa Rica' >Costa Rica</option><option value='Croatia' >Croatia</option><option value='Cuba' >Cuba</option><option value='Curaçao' >Curaçao</option><option value='Cyprus' >Cyprus</option><option value='Czechia' >Czechia</option><option value='Côte d&#039;Ivoire' >Côte d&#039;Ivoire</option><option value='Denmark' >Denmark</option><option value='Djibouti' >Djibouti</option><option value='Dominica' >Dominica</option><option value='Dominican Republic' >Dominican Republic</option><option value='Ecuador' >Ecuador</option><option value='Egypt' >Egypt</option><option value='El Salvador' >El Salvador</option><option value='Equatorial Guinea' >Equatorial Guinea</option><option value='Eritrea' >Eritrea</option><option value='Estonia' >Estonia</option><option value='Eswatini' >Eswatini</option><option value='Ethiopia' >Ethiopia</option><option value='Falkland Islands' >Falkland Islands</option><option value='Faroe Islands' >Faroe Islands</option><option value='Fiji' >Fiji</option><option value='Finland' >Finland</option><option value='France' >France</option><option value='French Guiana' >French Guiana</option><option value='French Polynesia' >French Polynesia</option><option value='French Southern Territories' >French Southern Territories</option><option value='Gabon' >Gabon</option><option value='Gambia' >Gambia</option><option value='Georgia' >Georgia</option><option value='Germany' >Germany</option><option value='Ghana' >Ghana</option><option value='Gibraltar' >Gibraltar</option><option value='Greece' >Greece</option><option value='Greenland' >Greenland</option><option value='Grenada' >Grenada</option><option value='Guadeloupe' >Guadeloupe</option><option value='Guam' >Guam</option><option value='Guatemala' >Guatemala</option><option value='Guernsey' >Guernsey</option><option value='Guinea' >Guinea</option><option value='Guinea-Bissau' >Guinea-Bissau</option><option value='Guyana' >Guyana</option><option value='Haiti' >Haiti</option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands</option><option value='Holy See' >Holy See</option><option value='Honduras' >Honduras</option><option value='Hong Kong' >Hong Kong</option><option value='Hungary' >Hungary</option><option value='Iceland' >Iceland</option><option value='India' >India</option><option value='Indonesia' >Indonesia</option><option value='Iran' >Iran</option><option value='Iraq' >Iraq</option><option value='Ireland' >Ireland</option><option value='Isle of Man' >Isle of Man</option><option value='Israel' >Israel</option><option value='Italy' >Italy</option><option value='Jamaica' >Jamaica</option><option value='Japan' >Japan</option><option value='Jersey' >Jersey</option><option value='Jordan' >Jordan</option><option value='Kazakhstan' >Kazakhstan</option><option value='Kenya' >Kenya</option><option value='Kiribati' >Kiribati</option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of</option><option value='Korea, Republic of' >Korea, Republic of</option><option value='Kuwait' >Kuwait</option><option value='Kyrgyzstan' >Kyrgyzstan</option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic</option><option value='Latvia' >Latvia</option><option value='Lebanon' >Lebanon</option><option value='Lesotho' >Lesotho</option><option value='Liberia' >Liberia</option><option value='Libya' >Libya</option><option value='Liechtenstein' >Liechtenstein</option><option value='Lithuania' >Lithuania</option><option value='Luxembourg' >Luxembourg</option><option value='Macao' >Macao</option><option value='Madagascar' >Madagascar</option><option value='Malawi' >Malawi</option><option value='Malaysia' >Malaysia</option><option value='Maldives' >Maldives</option><option value='Mali' >Mali</option><option value='Malta' >Malta</option><option value='Marshall Islands' >Marshall Islands</option><option value='Martinique' >Martinique</option><option value='Mauritania' >Mauritania</option><option value='Mauritius' >Mauritius</option><option value='Mayotte' >Mayotte</option><option value='Mexico' >Mexico</option><option value='Micronesia' >Micronesia</option><option value='Moldova' >Moldova</option><option value='Monaco' >Monaco</option><option value='Mongolia' >Mongolia</option><option value='Montenegro' >Montenegro</option><option value='Montserrat' >Montserrat</option><option value='Morocco' >Morocco</option><option value='Mozambique' >Mozambique</option><option value='Myanmar' >Myanmar</option><option value='Namibia' >Namibia</option><option value='Nauru' >Nauru</option><option value='Nepal' >Nepal</option><option value='Netherlands' >Netherlands</option><option value='New Caledonia' >New Caledonia</option><option value='New Zealand' >New Zealand</option><option value='Nicaragua' >Nicaragua</option><option value='Niger' >Niger</option><option value='Nigeria' >Nigeria</option><option value='Niue' >Niue</option><option value='Norfolk Island' >Norfolk Island</option><option value='North Macedonia' >North Macedonia</option><option value='Northern Mariana Islands' >Northern Mariana Islands</option><option value='Norway' >Norway</option><option value='Oman' >Oman</option><option value='Pakistan' >Pakistan</option><option value='Palau' >Palau</option><option value='Palestine, State of' >Palestine, State of</option><option value='Panama' >Panama</option><option value='Papua New Guinea' >Papua New Guinea</option><option value='Paraguay' >Paraguay</option><option value='Peru' >Peru</option><option value='Philippines' >Philippines</option><option value='Pitcairn' >Pitcairn</option><option value='Poland' >Poland</option><option value='Portugal' >Portugal</option><option value='Puerto Rico' >Puerto Rico</option><option value='Qatar' >Qatar</option><option value='Romania' >Romania</option><option value='Russian Federation' >Russian Federation</option><option value='Rwanda' >Rwanda</option><option value='Réunion' >Réunion</option><option value='Saint Barthélemy' >Saint Barthélemy</option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha</option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis</option><option value='Saint Lucia' >Saint Lucia</option><option value='Saint Martin' >Saint Martin</option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon</option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines</option><option value='Samoa' >Samoa</option><option value='San Marino' >San Marino</option><option value='Sao Tome and Principe' >Sao Tome and Principe</option><option value='Saudi Arabia' >Saudi Arabia</option><option value='Senegal' >Senegal</option><option value='Serbia' >Serbia</option><option value='Seychelles' >Seychelles</option><option value='Sierra Leone' >Sierra Leone</option><option value='Singapore' >Singapore</option><option value='Sint Maarten' >Sint Maarten</option><option value='Slovakia' >Slovakia</option><option value='Slovenia' >Slovenia</option><option value='Solomon Islands' >Solomon Islands</option><option value='Somalia' >Somalia</option><option value='South Africa' >South Africa</option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands</option><option value='South Sudan' >South Sudan</option><option value='Spain' >Spain</option><option value='Sri Lanka' >Sri Lanka</option><option value='Sudan' >Sudan</option><option value='Suriname' >Suriname</option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen</option><option value='Sweden' >Sweden</option><option value='Switzerland' >Switzerland</option><option value='Syria Arab Republic' >Syria Arab Republic</option><option value='Taiwan' >Taiwan</option><option value='Tajikistan' >Tajikistan</option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of</option><option value='Thailand' >Thailand</option><option value='Timor-Leste' >Timor-Leste</option><option value='Togo' >Togo</option><option value='Tokelau' >Tokelau</option><option value='Tonga' >Tonga</option><option value='Trinidad and Tobago' >Trinidad and Tobago</option><option value='Tunisia' >Tunisia</option><option value='Turkmenistan' >Turkmenistan</option><option value='Turks and Caicos Islands' >Turks and Caicos Islands</option><option value='Tuvalu' >Tuvalu</option><option value='Türkiye' >Türkiye</option><option value='US Minor Outlying Islands' >US Minor Outlying Islands</option><option value='Uganda' >Uganda</option><option value='Ukraine' >Ukraine</option><option value='United Arab Emirates' >United Arab Emirates</option><option value='United Kingdom' >United Kingdom</option><option value='United States' >United States</option><option value='Uruguay' >Uruguay</option><option value='Uzbekistan' >Uzbekistan</option><option value='Vanuatu' >Vanuatu</option><option value='Venezuela' >Venezuela</option><option value='Viet Nam' >Viet Nam</option><option value='Virgin Islands, British' >Virgin Islands, British</option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.</option><option value='Wallis and Futuna' >Wallis and Futuna</option><option value='Western Sahara' >Western Sahara</option><option value='Yemen' >Yemen</option><option value='Zambia' >Zambia</option><option value='Zimbabwe' >Zimbabwe</option><option value='Åland Islands' >Åland Islands</option></select>
                                        <label for='input_4_45_6' id='input_4_45_6_label' class='gform-field-label gform-field-label--type-sub '>Country</label>
                </fieldset>
                        <input type='button' id='gform_previous_button_4_28' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery("#gform_target_page_number_4").val("1");  jQuery("#gform_4").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_4").val("1");  jQuery("#gform_4").trigger("submit",[true]); } ' /> <input type='button' id='gform_next_button_4_28' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery("#gform_target_page_number_4").val("3");  jQuery("#gform_4").trigger("submit",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery("#gform_target_page_number_4").val("3");  jQuery("#gform_4").trigger("submit",[true]); } ' /> 
                        <fieldset id="field_4_49"   data-js-reload="field_4_49"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Event Type(Required)</legend>
								<input class='gfield-choice-input' name='input_49.1' type='checkbox'  value='Solo Orchid City Performance'  id='choice_4_49_1'   />
								<label for='choice_4_49_1' id='label_4_49_1' class='gform-field-label gform-field-label--type-inline'>Solo Orchid City Performance</label>
								<input class='gfield-choice-input' name='input_49.2' type='checkbox'  value='Joint Performance (specify other performers below)'  id='choice_4_49_2'   />
								<label for='choice_4_49_2' id='label_4_49_2' class='gform-field-label gform-field-label--type-inline'>Joint Performance (specify other performers below)</label>
								<input class='gfield-choice-input' name='input_49.3' type='checkbox'  value='Other (please specify below)'  id='choice_4_49_3'   />
								<label for='choice_4_49_3' id='label_4_49_3' class='gform-field-label gform-field-label--type-inline'>Other (please specify below)</label>
							</fieldset><fieldset id="field_4_50"   data-js-reload="field_4_50"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Ensemble Size Preferred(Required)</legend>
								<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='Brass Band (30 Members)'  id='choice_4_50_1'   />
								<label for='choice_4_50_1' id='label_4_50_1' class='gform-field-label gform-field-label--type-inline'>Brass Band (30 Members)</label>
								<input class='gfield-choice-input' name='input_50.2' type='checkbox'  value='Brass Ensemble (10 Members)'  id='choice_4_50_2'   />
								<label for='choice_4_50_2' id='label_4_50_2' class='gform-field-label gform-field-label--type-inline'>Brass Ensemble (10 Members)</label>
								<input class='gfield-choice-input' name='input_50.3' type='checkbox'  value='Brass Quintet (5 Members)'  id='choice_4_50_3'   />
								<label for='choice_4_50_3' id='label_4_50_3' class='gform-field-label gform-field-label--type-inline'>Brass Quintet (5 Members)</label>
							</fieldset><label class='gfield_label gform-field-label' for='input_4_51' >First Choice</label>
                            <input name='input_51' id='input_4_51' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm/dd/yyyy' aria-describedby="input_4_51_date_format" aria-invalid="false" />
                            MM slash DD slash YYYY
                        <input type='hidden' id='gforms_calendar_icon_input_4_51' class='gform_hidden' value='https://orchidcitybrass.org/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/><label class='gfield_label gform-field-label' for='input_4_52' >Second Choice</label>
                            <input name='input_52' id='input_4_52' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm/dd/yyyy' aria-describedby="input_4_52_date_format" aria-invalid="false" />
                            MM slash DD slash YYYY
                        <input type='hidden' id='gforms_calendar_icon_input_4_52' class='gform_hidden' value='https://orchidcitybrass.org/wp-content/plugins/gravityforms/images/datepicker/datepicker.svg'/><fieldset id="field_4_53"   data-js-reload="field_4_53"><legend class='gfield_label gform-field-label'  >Date Flexibility?</legend>
					<input class='gfield-choice-input' name='input_53' type='radio' value='Yes'  id='choice_4_53_0' onchange='gformToggleRadioOther( this )'    />
					<label for='choice_4_53_0' id='label_4_53_0' class='gform-field-label gform-field-label--type-inline'>Yes</label>
					<input class='gfield-choice-input' name='input_53' type='radio' value='No'  id='choice_4_53_1' onchange='gformToggleRadioOther( this )'    />
					<label for='choice_4_53_1' id='label_4_53_1' class='gform-field-label gform-field-label--type-inline'>No</label>
					<input class='gfield-choice-input' name='input_53' type='radio' value='Unsure'  id='choice_4_53_2' onchange='gformToggleRadioOther( this )'    />
					<label for='choice_4_53_2' id='label_4_53_2' class='gform-field-label gform-field-label--type-inline'>Unsure</label>
			</fieldset><fieldset id="field_4_55"   data-js-reload="field_4_55"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Start Time</legend>
                            <input type='number' maxlength='2' name='input_55[]' id='input_4_55_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   /> 
                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_4_55_1'>Hours</label>
                        :
                            <input type='number' maxlength='2' name='input_55[]' id='input_4_55_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  />
                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_4_55_2'>Minutes</label>
                                <select name='input_55[]' id='input_4_55_3'  >
                                    <option value='am' >AM</option>
                                    <option value='pm' >PM</option>
                                </select> 
                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_4_55_3'>AM/PM</label>                                
                    </fieldset><fieldset id="field_4_56"   data-js-reload="field_4_56"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >End Time(Required)</legend>
                            <input type='number' maxlength='2' name='input_56[]' id='input_4_56_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   /> 
                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_4_56_1'>Hours</label>
                        :
                            <input type='number' maxlength='2' name='input_56[]' id='input_4_56_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  />
                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_4_56_2'>Minutes</label>
                                <select name='input_56[]' id='input_4_56_3'  >
                                    <option value='am' >AM</option>
                                    <option value='pm' >PM</option>
                                </select> 
                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_4_56_3'>AM/PM</label>                                
                    </fieldset><fieldset id="field_4_58"   data-js-reload="field_4_58"><legend class='gfield_label gform-field-label'  >Time Flexibility?</legend>
					<input class='gfield-choice-input' name='input_58' type='radio' value='Yes'  id='choice_4_58_0' onchange='gformToggleRadioOther( this )'    />
					<label for='choice_4_58_0' id='label_4_58_0' class='gform-field-label gform-field-label--type-inline'>Yes</label>
					<input class='gfield-choice-input' name='input_58' type='radio' value='No'  id='choice_4_58_1' onchange='gformToggleRadioOther( this )'    />
					<label for='choice_4_58_1' id='label_4_58_1' class='gform-field-label gform-field-label--type-inline'>No</label>
					<input class='gfield-choice-input' name='input_58' type='radio' value='Unsure'  id='choice_4_58_2' onchange='gformToggleRadioOther( this )'    />
					<label for='choice_4_58_2' id='label_4_58_2' class='gform-field-label gform-field-label--type-inline'>Unsure</label>
			</fieldset><fieldset id="field_4_60"   data-js-reload="field_4_60"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Event Access</legend>
								<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='Public Event'  id='choice_4_60_1'   />
								<label for='choice_4_60_1' id='label_4_60_1' class='gform-field-label gform-field-label--type-inline'>Public Event</label>
								<input class='gfield-choice-input' name='input_60.2' type='checkbox'  value='Private Event'  id='choice_4_60_2'   />
								<label for='choice_4_60_2' id='label_4_60_2' class='gform-field-label gform-field-label--type-inline'>Private Event</label>
								<input class='gfield-choice-input' name='input_60.3' type='checkbox'  value='Other'  id='choice_4_60_3'   />
								<label for='choice_4_60_3' id='label_4_60_3' class='gform-field-label gform-field-label--type-inline'>Other</label>
							</fieldset><fieldset id="field_4_62"   data-js-reload="field_4_62"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Ticketed Event?</legend>
								<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Yes'  id='choice_4_62_1'   />
								<label for='choice_4_62_1' id='label_4_62_1' class='gform-field-label gform-field-label--type-inline'>Yes</label>
								<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='No'  id='choice_4_62_2'   />
								<label for='choice_4_62_2' id='label_4_62_2' class='gform-field-label gform-field-label--type-inline'>No</label>
								<input class='gfield-choice-input' name='input_62.3' type='checkbox'  value='Donations/Free-Will Offering'  id='choice_4_62_3'   />
								<label for='choice_4_62_3' id='label_4_62_3' class='gform-field-label gform-field-label--type-inline'>Donations/Free-Will Offering</label>
							</fieldset>Describe the event as fully as possible (concert, festival, holiday, corporate event, life event [wedding, anniversary, etc.)."
<label class='gfield_label gform-field-label' for='input_4_65' >Event Purpose/Occasion</label><input name='input_65' id='input_4_65' type='text' value='' class='large'      aria-invalid="false"   /> <label class='gfield_label gform-field-label' for='input_4_66' >Attendance Goal</label><input name='input_66' id='input_4_66' type='text' value='' class='large'      aria-invalid="false"   /> <label class='gfield_label gform-field-label' for='input_4_67' >Event Budget*(Required)</label><input name='input_67' id='input_4_67' type='text' value='' class='large'     aria-required="true" aria-invalid="false"   /> <fieldset id="field_4_68"   data-js-reload="field_4_68"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Event Logistics</legend>
								<input class='gfield-choice-input' name='input_68.1' type='checkbox'  value='Indoor'  id='choice_4_68_1'   aria-describedby="gfield_description_4_68"/>
								<label for='choice_4_68_1' id='label_4_68_1' class='gform-field-label gform-field-label--type-inline'>Indoor</label>
								<input class='gfield-choice-input' name='input_68.2' type='checkbox'  value='Outdoor'  id='choice_4_68_2'   />
								<label for='choice_4_68_2' id='label_4_68_2' class='gform-field-label gform-field-label--type-inline'>Outdoor</label>
								<input class='gfield-choice-input' name='input_68.3' type='checkbox'  value='Chairs Provided'  id='choice_4_68_3'   />
								<label for='choice_4_68_3' id='label_4_68_3' class='gform-field-label gform-field-label--type-inline'>Chairs Provided</label>
								<input class='gfield-choice-input' name='input_68.4' type='checkbox'  value='Traditional Stage'  id='choice_4_68_4'   />
								<label for='choice_4_68_4' id='label_4_68_4' class='gform-field-label gform-field-label--type-inline'>Traditional Stage</label>
								<input class='gfield-choice-input' name='input_68.5' type='checkbox'  value='Outdoor - Protected (Tent or Canopy)'  id='choice_4_68_5'   />
								<label for='choice_4_68_5' id='label_4_68_5' class='gform-field-label gform-field-label--type-inline'>Outdoor - Protected (Tent or Canopy)</label>
								<input class='gfield-choice-input' name='input_68.6' type='checkbox'  value='Music Stands Provided'  id='choice_4_68_6'   />
								<label for='choice_4_68_6' id='label_4_68_6' class='gform-field-label gform-field-label--type-inline'>Music Stands Provided</label>
								<input class='gfield-choice-input' name='input_68.7' type='checkbox'  value='Temporary Platform'  id='choice_4_68_7'   />
								<label for='choice_4_68_7' id='label_4_68_7' class='gform-field-label gform-field-label--type-inline'>Temporary Platform</label>
								<input class='gfield-choice-input' name='input_68.8' type='checkbox'  value='Outdoor - Exposed'  id='choice_4_68_8'   />
								<label for='choice_4_68_8' id='label_4_68_8' class='gform-field-label gform-field-label--type-inline'>Outdoor - Exposed</label>
								<input class='gfield-choice-input' name='input_68.9' type='checkbox'  value='Sound System Provided'  id='choice_4_68_9'   />
								<label for='choice_4_68_9' id='label_4_68_9' class='gform-field-label gform-field-label--type-inline'>Sound System Provided</label>
								<input class='gfield-choice-input' name='input_68.11' type='checkbox'  value='No Stage'  id='choice_4_68_11'   />
								<label for='choice_4_68_11' id='label_4_68_11' class='gform-field-label gform-field-label--type-inline'>No Stage</label>
								<input class='gfield-choice-input' name='input_68.12' type='checkbox'  value='Outdoor - Indoor Inclement Weather Option'  id='choice_4_68_12'   />
								<label for='choice_4_68_12' id='label_4_68_12' class='gform-field-label gform-field-label--type-inline'>Outdoor - Indoor Inclement Weather Option</label>
								<input class='gfield-choice-input' name='input_68.13' type='checkbox'  value='Electrical Power Access'  id='choice_4_68_13'   />
								<label for='choice_4_68_13' id='label_4_68_13' class='gform-field-label gform-field-label--type-inline'>Electrical Power Access</label>
							Describe the event logistics as fully as possible.</fieldset><fieldset id="field_4_69"   data-js-reload="field_4_69"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Event Program Repertoire</legend>
								<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='Patriotic/Americana'  id='choice_4_69_1'   aria-describedby="gfield_description_4_69"/>
								<label for='choice_4_69_1' id='label_4_69_1' class='gform-field-label gform-field-label--type-inline'>Patriotic/Americana</label>
								<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='Holiday'  id='choice_4_69_2'   />
								<label for='choice_4_69_2' id='label_4_69_2' class='gform-field-label gform-field-label--type-inline'>Holiday</label>
								<input class='gfield-choice-input' name='input_69.3' type='checkbox'  value='Classical'  id='choice_4_69_3'   />
								<label for='choice_4_69_3' id='label_4_69_3' class='gform-field-label gform-field-label--type-inline'>Classical</label>
								<input class='gfield-choice-input' name='input_69.4' type='checkbox'  value='Stage &amp; Screen'  id='choice_4_69_4'   />
								<label for='choice_4_69_4' id='label_4_69_4' class='gform-field-label gform-field-label--type-inline'>Stage &amp; Screen</label>
								<input class='gfield-choice-input' name='input_69.5' type='checkbox'  value='Traditional Brass Band'  id='choice_4_69_5'   />
								<label for='choice_4_69_5' id='label_4_69_5' class='gform-field-label gform-field-label--type-inline'>Traditional Brass Band</label>
								<input class='gfield-choice-input' name='input_69.6' type='checkbox'  value='Other (Please specify below)'  id='choice_4_69_6'   />
								<label for='choice_4_69_6' id='label_4_69_6' class='gform-field-label gform-field-label--type-inline'>Other (Please specify below)</label>
							Please select all Repertoire Categories desired for the program, if known.</fieldset><label class='gfield_label gform-field-label' for='input_4_72' >Additional Comments</label><textarea name='input_72' id='input_4_72' class='textarea small'  aria-describedby="gfield_description_4_72"    aria-invalid="false"   rows='10' cols='50'></textarea>Add any additional comments or questions here.
        <input type='submit' id='gform_previous_button_4' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window["gf_submitting_4"]){return false;}  if( !jQuery("#gform_4")[0].checkValidity || jQuery("#gform_4")[0].checkValidity()){window["gf_submitting_4"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_4"]){return false;} if( !jQuery("#gform_4")[0].checkValidity || jQuery("#gform_4")[0].checkValidity()){window["gf_submitting_4"]=true;}  jQuery("#gform_4").trigger("submit",[true]); }' /> <input type='submit' id='gform_submit_button_4' class='gform_button button' value='Submit'  onclick='if(window["gf_submitting_4"]){return false;}  if( !jQuery("#gform_4")[0].checkValidity || jQuery("#gform_4")[0].checkValidity()){window["gf_submitting_4"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window["gf_submitting_4"]){return false;} if( !jQuery("#gform_4")[0].checkValidity || jQuery("#gform_4")[0].checkValidity()){window["gf_submitting_4"]=true;}  jQuery("#gform_4").trigger("submit",[true]); }' /> <input type='hidden' name='gform_ajax' value='form_id=4&amp;title=&amp;description=&amp;tabindex=0' />
            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' />
            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' />
            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' />
            <input type='hidden' class='gform_hidden' name='state_4' value='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' />
            <input type='hidden' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='2' />
            <input type='hidden' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' />
            <input type='hidden' name='gform_field_values' value='' />
                        </form>
		                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_4' id='gform_ajax_frame_4' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'></iframe>