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Company Name

Website/URL

Place Of Origin

Address

Primary Contact

Primary Contact Name

Primary Contact Email

Primary Contact Main Phone

Primary Contact Secondary Phone

Secondary Contact

Secondary Contact Name

Secondary Contact Email

Secondary Contact Primary Phone

Secondary Contact Secondary Phone

Performance Title

Performance Creator

Original Work

Yes

No

Premiere

Yes

No

Identifies as Minority

Yes

No

Minority Description

Identifies as LGBTQIA2S+

Yes

No

Prefer Not To Say

Identity Description

Disabled

Yes

No

Disability Description

Project Description

Project Type/Genre

Project Rating

Project Content Warnings

Project Space Requirements

Project Runtime (mins)

Performance Count (min 1 – max 5)

Project Crew Size

Festival Conflicts

Yes

No

Interested in Billeting

Yes

No

Application Fee ($25) – do you agree to pay?

Yes

No

Production Fee ($250) – do you agree to pay?

Yes

No

I have read the Anti-Discrimination / Anti-Harassment Policy and agree to comply

Yes

No

Primary Contact

Secondary Contact

Contact Information