UTA Junior High Group Registration
1. Junior High School groups attending the Junior High School Friday Conference Special should complete this form.

2. Student registration costs for the Friday Conference Special is: $40.00. Chaperone cost is $25.00 each. There is no cost for teachers who are bringing students to the conference. No refunds will be given for registration fees.

3. The deadline for registration is NOVEMBER 30, 2017. Registrations completed after this date must include a $15.00 late fee per person. Late registrations will be accepted until December 14, 2017. No registrations will be accepted or changed after this date.

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

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
The Friday Conference Special registration includes that day’s conference events, workshops, conference T-shirt, and evening performance.

A $15.00 late fee per person will be assessed once the registration deadline has passed. Late registration does not include scholarship screening or playwriting privileges. No registrations 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 $40) + (PAYING Adults registering x $25)
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 on Friday evening. Production assignments are 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 *
Will the teacher/advisor be attending the ENTIRE conference weekend (including the productions, and other workshops)? *
Teacher Thursday Option
If the teacher is planning on attending the entire conference, please indicate which production the teacher would like to attend on Thursday.
If you are sharing a bus with another school, please indicate the name of that school here.
Your answer
Payment Options
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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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 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: $25.00 – 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 junior high student will have an individualized nametag. Please supply the names of the students you will be bringing to the conference. Please include first AND last name.
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