University of Arkansas at Little Rock

Email Address *

Students’ Class(es) *
as you want it/them on the program

Name of School *
as you want it on the program

School Address *

Zip *

Fax Number *

Best Phone Number *

Indicate Below (1) each class by grade level, (2) the scene the students will be performing, (3) your preference for day of performance (4) the number of students per class. Please Note: Each instructor will be given one 25-minute slot; if you bring more than one class or do more than one scene, you will have to fit the performances into the one slot. If this causes a hardship, check with Dr. Kris McAbee after February 1, 2012.

How many of your students will be part of the performances? *
(i.e., eligible for t-shirts)

How many of your students will be members of the audience only? *