Please include your contact information so that we can let you know that we have received your submission.
Print out your automatic confirmation for your files and mail to your Circuit Coordinator.
Respondent's Name
Respondent's School
Respondent's Address
Respondent's City State Zip
Respondent's Phone Number (office) Respondent's Phone Number (home)
Respondent's Fax Respondent's Cell/Pager
Respondent's E-mail
Production School/University Name
Production
Production's Running Time
Irene Ryan Institution Nominee
Irene Ryan Institution Nominee Role
Irene Ryan #2
Irene Ryan #2 Role
Irene Ryan #3(for Participating Entries only)
Irene Ryan #3 Role (for Participating Entries only) Meritorious Achievement Category Meritorious Achievement Category Meritorious Achievement Category Meritorious Achievement Category Meritorious Achievement Category Adjudicator Date -- mm/dd/yy
Irene Ryan #3 Role (for Participating Entries only)
Meritorious Achievement
Category
Adjudicator
Date
-- mm/dd/yy
Festival considerations:
Yes No Not Yet Seen Play - Festival Possibility Play Possibility Notes Scene - Scene Possibility Scene Possibility Notes New Play Development Possibility New Play Development Possibility Notes Student Director Possibility Student Director Possibility Notes Stage Manager Possibility Stage Manager Possibility Notes
Play - Festival Possibility
Play Possibility Notes
Scene - Scene Possibility
Scene Possibility Notes
New Play Development Possibility
New Play Development Possibility Notes
Student Director Possibility
Student Director Possibility Notes
Stage Manager Possibility
Stage Manager Possibility Notes
Use the space below for any other notes you would like to include about the show you saw.
