| Must be submitted by 1/10/10 |
| First Name |
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| Last Name |
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| Email |
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| Institution/Affiliation |
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| Address |
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| City |
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| State |
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| Zip |
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| Work Phone |
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| Cell Phone |
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| Home Phone |
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| Will you have your cell phone with you during the Festival? |
| Yes
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No
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| Will you accept text messages to communicate workshop details? |
| Yes
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No
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| |
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| Workshop Title |
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| Maximum number of participants |
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| Maximum numbers of observers |
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| Workshop Description (for program copy; maximum of 4 lines): |
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| Specific requirements for participants (clothing, shoes, etc.) |
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| Room needs (room size, floor type, chairs, tables, high ceiling, etc.) |
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| Technical/Equipment needs (audio-visual needs, microphone, chalkboard) |
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| Requested duration of workshop (Wed - Sat; 45 min & 1 1/2 hour: Tuesday Workshops at LACC; 3 hours & 2 hours) |
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| Please list any other ways in which you may be involved in the Festival (i.e. student design advisor, potential director of a participating entry, potential student-written play advisor, ryan coach) |
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| Will you only be attending on certain days? If so, please list the dates you will be in attendance |
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| Anything else you would like us to know (for example, copies that will be needed) |
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