KCACTF Region V

Associate Entry Response Form

Respondent's First Name:
Respondent's Last Namee
Respondent's University/College:
Name of Production Seen:
Produced by which University/College?
Date Seen:
Playwright: Name: Status:
Director: Name: Status:
Scenic Designer: Name: Status:
Costume Designer: Name: Status:
Make-up Designer: Name: Status:
Lighting Designer: Name: Status:
Sound Designer: Name: Status:
YOUR Irene Ryan Scholarship Nominee:
The Director's Irene Ryan Scholarship Nominee:

Was the KCACTF Sponsorship Information included in this production's program?

Is there any additional information about this production you would like to share with the Regional Chair? This information is confidential and will not be shared with the producing school.This field might be used for explanations, venting, words of wisdom...
* Respondent's Email Address (this required field will serve as your electronic signature):
  Would you like a copy of this response emailed to you? Check here if YES:

Note: after you hit the "Submit Response" button below, you should receive a "Thanks for your response" message. If you DON'T, please contact annebyrd@kcactf5.org