ENCOMPASS

Compassion Plays | Request Form

Your Name

FirstLast

Name of Agency/School

Your position

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone

Area CodePhone Number

E-mail

Is e-mail a good way to contact you?

How did you hear about COMPASSION PLAYS?

Please select which performance you are selecting:

Date and Time 1st Choice

MonthDayYearHourMinutesAM/PM Option

Date and Time 2nd Choice

MonthDayYearHourMinutesAM/PM Option

Please describe the audience below...

Total Number

Age range:

From:

To:

Please describe the make-up of the group. It is helpful to include race, culture, religion, job title, grade level, origin, or any other information that defines the diversity of the group. This will help us select the facilitators.

Name of person who will meet our staff one hour prior to show time on the performance day

First NameLast Name

Exact Address of Performance site

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

The stage management team will need to have the closest access to an elevator or entrance from the parking to the actual stage performance space. Please describe the parking arragements and where our staff will be able to unload the set.

Please describe the room where the performance will be held. Include dimensions of the stagin area, whether chairs can be moved, etc. (In order to perform the show and the accommodate our set, there must be an open staging area of at least 16' x 16;. We also need access to an electrical outlet.)

Please provide the following billing information.

Name:

First NameLast Name

Address (Leave blank if the same as the main):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone:

Area CodePhone Number

Please understand that the play is performed by a professional actor under the Actor's Equity Association. If you cancel or need to reschedule within 5 working days of the performance we must charge you the full fee. If, for some reason, ENCOMPASS must cancel a show or reschedule the performance with less than 5 working days notice the fee will be waived.

Once ENCOMPASS recieves your information we will process your request. When we comfirm staffing for the date and time of your performance request you will receive a phone call and a comfirmation letter. Thank you.