Playwright Contest Registration Form

Thank you for your interest!

Please print this page, fill out the form, and return to us with a check for $25 by 12/31/07 to Cocoon Theatre, at:

Cocoon Theatre, Inc.
6384 Mill Street
Rhinebeck, NY 12572

Return to the Cocoon Theatre Playwright Festival page

Name: ________________________________________ Age: _____ Sex: _____

Street Address/ P.O. Box: ______________________________________________________

City, State, Zip: ______________________________________________________________

Phone(s): ____________________ ____________________ E-mail: _____________________

Circle any that apply: Ten-Minute, One-Act, Full-Length, Musical, Drama, Comedy, Satire, Symbolic, Other

Name of play: __________________________________________________________

Number of pages: ________

Synopsis: __________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Payment: Check or MO number: _______________ Amount: ________

_________________________________________ Date: ______________
(signature)

How did you hear about this festival? _________________________

______________________________________________________

If you have any questions about this registration or the Playwright festival, contact Cocoon Theatre President,
Marguerite San Millan, at 845-876-6470, or e-mail us at marguerite@cocoontheatre.org.

Return to the Cocoon Theatre Playwright Festival page