PLAY REQUEST FORM

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Your Name *

First

Last

Your email *

Title of Play *

Playwright's Name *

Director's Name *

Stage Manager's Name *

Lighting Operator's Name

Sound Operator's Name

How many actors are required? *

Which show slot would like? *

Additional Information

33 Talbot St N., PO Box 324 Simcoe, ON N3Y 4L2 www.simcoelittletheatre.org Box Office: 519-583-0505