Inscription form of the

International Amateur Theatre Festival of Mont-Laurier

2005 Edition

The troupe
Name of the troupe

Country

City

Address

Phone number

Fax

E-mail

Website

Name of the contact

First name of the contact

Address

Phone number

Fax

E-mail
 The play
Title

Author

Type/Style

Language and
duration
Choice’s motivation

Play’s summary
 The setting
Description

Assembling time

Time for dismantle

Technical support
(specify your needs : sound, lighting,
audio-visual)

Accessories requested from

organizers
 Member’s list of the troupe (information for each member)
1
Name

First name

Sex

Speaking languages

Function

2
Name

First name

Sex

Speaking languages

Function

3
Name

First name

Sex

Speaking languages

Function

4
Name

First name

Sex

Speaking languages

Function
5
Name

First name

Sex

Speaking languages

Function

6
Name

First name

Sex

Speaking languages

Function

7
Name

First name

Sex

Speaking languages

Function

8
Name

First name

Sex

Speaking languages

Function
9
Name

First name

Sex

Speaking languages

Function

10
Name

First name

Sex

Speaking languages

Function

11
Name

First name

Sex

Speaking languages

Function

12
Name

First name

Sex

Speaking languages

Function