Title of Production
   

Produced by:
   

Director's Name 
 

Date that you saw the production

Select One:      Associate Production      Participating Production

Note:  Associate Productions receive only 2 nominations and Participating Productions can receive 3 only.

Irene Ryan Nomination by Department:

Irene Ryan Nomination by Respondent:

Irene Ryan Nomination by Respondent: (for participating  shows only)

Certificates of Merit:
for Select one Costume Design Scenic Design Lighting Design Sound Design Prop Design/Construction Stage Management Direction Technical Direction Musical Direction Other (please specify below) for Select one Costume Design Scenic Design Lighting Design Sound Design Prop Design/Construction Stage Management Direction Technical Direction Musical Direction Other (please specify below) for Select one Costume Design Scenic Design Lighting Design Sound Design Prop Design/Construction Stage Management Direction Technical Direction Musical Direction Other (please specify below) for Select one Costume Design Scenic Design Lighting Design Sound Design Prop Design/Construction Stage Management Direction Technical Direction Musical Direction Other (please specify below) for Select one Costume Design Scenic Design Lighting Design Sound Design Prop Design/Construction Stage Management Direction Technical Direction Musical Direction Other (please specify below)   for Select one Costume Design Scenic Design Lighting Design Sound Design Prop Design/Construction Stage Management Direction Technical Direction Musical Direction Other (please specify below)

Other:

For Participation Productions Only

Recommendation for inclusion in Regional Festival: Select one Highly Recommend - Outstanding Production Recommend - Good Production Marginal - Good elements, but some important weaknesses Do Not Recommend

Other details to consider about the production:

Name of Respondent

School of Respondent

Respondent's phone

Respondent's email