UTA Group Registration
1. School groups attending the entire conference should use this form.

2. Student registration costs are: $90.00. Chaperone cost is $45 each. There is no cost for teachers (up to two) who are bringing students to the conference. No refunds will be given for registration costs.

3. Students who plan to audition for college scholarship screenings or who plan to enter the Utah Young Playwright’s Conference must be registered for the conference by the deadline. No audition appointments or reading of scripts will be allowed after the registration deadline.

4. The deadline for registration is NOVEMBER 30, 2017. Registrations completed after this date must include a $25.00 late fee per person. Late registrations will be accepted until December 14, 2017. No registrations will be accepted or changed after this date.

5. After completing the form, you may pay with a check or credit card. Credit card payments are subject to a 3.5% + $.15 service charge.

Check payments should be sent to:
Kristi Curtis
Syracuse High School
665 S. 2000 W.
Syracuse, UT 84075

For credit card payments contact Lindsey McKinnon at (720) 838-5272.

If you have any questions about the form, please contact Richie Uminski at (210) 978-2733.

School *
Your answer
Teacher/Advisor *
Your answer
Full School Address *
(including city, state and zipcode)
Your answer
School Phone Number *
(xxx) xxx-xxxx
Your answer
On-site Phone Number (or cell) *
(xxx) xxx-xxxx
Your answer
Email Contact *
Your answer
Registration Numbers and Fee
Full registration includes all conference events, workshops, performances, conference T-shirt, and audition privileges.

A $25 late fee per person will be assessed once the registration deadline has passed. Late registration does not include scholarship screening or playwriting privileges. No registration will be accepted after December 14, 2017.

How many students are registering? *
Your answer
How many adults are registering? *
Including the one free adult per group registration
Your answer
Total Fees *
(Students registering x $90) + (PAYING Adults registering x $45)
Your answer
T-Shirts
Please indicate how many conference T-shirts in each size your group needs. Be sure to include ALL students and adults. If none, please put 0.
SMALL *
Your answer
MEDIUM *
Your answer
LARGE *
Your answer
X-LARGE *
Your answer
2X-LARGE *
Your answer
Production Selection
Please select the play productions you would like to attend at the conference (preference selections not guaranteed- Thursday evening and Friday evening production assignments made in order of receiving registrations; producer and venues as listed; all play synopses can be found at http://utahtheatreassociation.org/wp-content/uploads/2015/03/2018-Production-Summaries.pdf)
First Choice *
Second Choice *
Third Choice *
If you are sharing a bus with another school, please indicate the name of that school here.
Your answer
Payment Option
Please indicate whether you will be paying with a check or credit card.

If you are paying with a credit card, there will be a 3.5% + $.15 charge added to your total payment. To pay with a credit card, call Lindsey McKinnon at (720) 838-5272.

If you are paying with a check, please send the check to--
Kristi Curtis
Syracuse High School
665 S. 2000 W.
Syracuse, UT 84075

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UTA Student of the Year
We know that you have wonderful students that work hard, are great leaders, lift others around them, practice a culture of excellence, and are just plain awesome kids. You have an opportunity to publicly recognize one of them at the conference at the keynote address assembly. This student can be anyone in your program who is attending the conference that you feel meets a high standard of theatre skills and understanding, excellence, and professionalism and contributes to your program.

If you have an exceptional student that you would like to recognize as your school’s UTA Theatre Student of the Year, please fill in the necessary information.

**include phonetic spelling if needed**

Would you like to nominate a student of the year for your school? *
UTA Student of the Year's Name
Your answer
Commentary
Please explain why this student is being nominated: 2-5 sentences –10-20 seconds worth of dialogue-- to explain or share why you want to recognize this student (explanations longer than the allotted time will be edited down).
Your answer
Award Recipients
Each year, the Utah Theatre Association honors individuals or groups who have contributed to the success of theatre in the state of Utah. This year, we have three categories in which to honor these fine people who have devoted hundreds of hours and energy to demonstrate their love of theatre and to promote theatre education in the community around them and those they work with. This year we are asking for nominations from you for these fine awards.
Dedicated Service to Secondary Theatre Education
Your answer
Dedicated Service to College/University Education
Your answer
Dedicated Service to Community Theatre
Your answer
Adult Registrants
You should have one adult registrant for approximately every ten students you bring to the conference.

Teacher/Advisor registration costs waived – please include first and last name
Chaperone registration costs: $45.00 – please include first and last name
University Student Teacher registration costs waived – please include first and last name in the "Student Teacher" box.

If you have more chaperones than spaces provided, please include multiple names in the final chaperone box.

Teacher/Advisor (only one) *
Your school can have up to two (2) free teachers. If you are bringing a second teacher, please list that second person below in the "second teacher/student teacher" slot.
Your answer
Chaperone
Your answer
Chaperone
Your answer
Chaperone
Your answer
Chaperone
Your answer
Second Teacher/Student Teacher
Your answer
Student Registrants
Each student will have an individualized name tag. Please supply the names of the students you will be bringing to the conference. Please include first AND last name. Double check before submitting this form as this will be how their names are printed.
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