2008-2009
Waldo M. and Grace C. Bonderman
Youth Theatre Playwriting Development Workshop
At the Indiana Repertory Theatre
(Please type or print)
NAME: __________________________________________________________________________
ADDRESS: _______________________________________________________________________
CITY: ______________________________________ STATE: ____________ ZIP: _____________
TELEPHONE: (__________) _________________________________________________________
E-MAIL ADDRESS:_________________________________________________________________
PLAY TITLE: _____________________________________________________________________
MUSICAL: Y or N (circle one)
(check one of the following)
_____ unproduced work in progress
_____ produced work in progress (list where and when this script has been produced)
______________________________________________________________
______________________________________________________________
______________________________________________________________
(check one of the following for appropriateness of grade)
_____ grades 1-3 _____ grades 4-6 _____ grades 7-12
I hereby certify that this play has NOT been committed to publication.
