DESIGN FINALS
Registration Form
Please print out this page and
mail or fax the completed questionnaire to:
John Binkley, Regional Design Coordinator
California State University, Northridge
Theatre Arts Department
18111 Nordhoff Street
Northridge, CA 91330
Fax (818) 677-2080
Name: _____________________________________________________
School: _____________________________________________________
Mailing _____________________________________________________
Address: _____________________________________________________
City: _____________________________________________________
State: __________ Zip: ________________
Contact Phone: (____)____________________
E-mail:_______________________________________________________
1. I plan to present the following design(s):
______________________________________________________________
______________________________________________________________
______________________________________________________________
2. I require the following equipment for any oral presentation:
___ carousel slide projector
___ video projector
___ audio cassette player
___ easel
___ other?_____________________________________________________
3. I require the following for my gallery display:
___ wall space
___ pedestal or table space (limited availability)
___ either
(please note: Designers wishing to use either dress forms or head blacks must provide their own.)
4. I have the following conflicts:
___ I am an Irene Ryan candidate
___ I am an Irene Ryan scene partner
partner___________________________________
___ I have a responsibility on a participating production
production________________________________