Please print form: Fill Out And mail
to adddress listed below. |
2nd Annual La MaMa International Playwright Retreat
July 31 – August 11, 2008
REGISTRATION FORM
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Name:_____________________________________________________________ |
Address:___________________________________________________________ |
City State Zip:_______________________________________________________ |
Country:_____________ |
Email:______________________________________ |
Phone:___________________/Fax _______________________ |
Date of Birth |
We should change it to: Please answer the following questions on a separate sheet.
Why is this Retreat appropriate for you at this time?
_______________________________________________________________________________________
_______________________________________________________________________________________
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What do you anticipate getting out of the experience? How might this experience help you as an artist?
_______________________________________________________________________________________
_______________________________________________________________________________________ |
Play or idea for play I plan to work on during the retreat:
_______________________________________________________________________________________
_______________________________________________________________________________________ |
What do you plan to achieve during the retreat to consider it successful?
_______________________________________________________________________________________
_______________________________________________________________________________________ |
Special dietary requirements (please be specific): |
______________________________________________________________________
______________________________________________________________________ |
Some attendees will have an opportunity to share their own exercises
or ideas in late night workshops. If you would like to be one
of the presenters, please check below and briefly describe
what you would like to do. The sessions are approximately 2
hours. |
| _____Yes, I propose conducting a workshop.
(Please include a descriptionj on the back of this application) |
Payment: |
| _____I will be attending the International Playwright Retreat [TOTAL DUE: $2,300] |
Payment Method:
_____check |
_____money order |
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| _____bank transfer |
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Deposit
(due with this form, by April 15th, 2008)
$__________ (minimum $500) |
Balance (due by June 15th, 2008)
$__________ |
TOTAL
$__________ |
NOTE If you are not accepted into the program, your deposit will be returned IN FULL.
Send completed registration and a current resume to:
International Symposium
c/o LaMaMa E.T.C.
74A East 4th Street,
New York, NY 10003
Make Check or Money Order payable to: La MaMa E.T.C.
For further information, please contact
David Diamond, Symposium Coordinator at (212) 620-0703
or
Mia B. Yoo, Symposium Coordinator at LaMaMa ETC (212) 254-6468
La MaMa Experimental Theatre Club
74A East 4th Street - New York, NY 10003 - Box Office: (212)
475-7710
contact us at web@lamama.org
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