General, Student and Non-select Playwright
Registration
[ required fields are marked with * ]



 
 
 
 
 
 
 

(000-000-0000)

 







Enter arrival and departure date for out-of-town participants


(mm-dd-yy)
























[ Authorization ]



In consideration of acceptance of this application for registration for the 2013 Great Plains Theatre Conference, I hereby authorize the Conference and/or Metropolitan Community College to use my image, likeness, name and biographical information in, but not limited to, photographs, videos and audio recordings created or used for the purposes of publicity/marketing and advertising for both the Conference and the College and my works for educational/classroom purposes. Additionally, I hereby waive and release the Conference and College from liability for any injury or damage to my person, property or professional reputation incurred as a result of my participation in the Conference.


*  



Be sure to review your registration selections and entries before you "SUBMIT YOUR REGISTRATION"

Please call 402-457-2829 for any assistance you might need with your registration.