SDA Middle Years Festival Registration

DEADLINE FOR ENTERING: April 1, 2010. SEND NO MONEY NOW. THE SASKATCHEWAN DRAMA ASSOCIATION WILL AUTOMATICALLY INVOICE YOU FOR THE APPROPRIATE FEES. THE INVOICE WILL INCLUDE A SDA ADULT MEMBERSHIP FEE PLUS THE PLAY REGISTRATION FEE.

Middle Years Playbill & Festival Registration Form

Adult Director(s):
(First and Last Name)
(Please separate each name with a return)

Student Director(s):
(First and Last Name)
(Please separate each name with a return)

Supervising Teacher:
(If student directed play)

School Name:

Address:

Phone:

Fax:

Your School Email:

Play Name:

Playwright:

Publisher:

Running Time:

Genre:
(drama, comedy, musical, etc.)

This play contains mature content and/or themes

If yes, why? (i.e. language, themes, etc.)

yes no

This play uses a smoke machine, strobe lights, loud noises, etc. PLEASE CHECK YOU FESTIVALS HANDBOOK FOR RESTRICTIONS. Please specify effect used:

yes no

CAST:
Student / Character:
(Please enter as per example: Sally Smith/Cinderella)
PLEASE SEPARATE EACH STUDENT'S NAME WITH A RETURN

CREW:
Student / Responsibility:
(Please enter as per example: Sally Smith/Prompter)
PLEASE SEPARATE EACH STUDENT'S NAME WITH A RETURN

CHAPERONES: (DO NOT INCLUDE THE NAMES OF DIRECTORS AND/OR SUPERVISING TEACHERS REGISTERED ABOVE AS CHAPERONES.)
First Name/Last Name (Please separate each name with a return)

Check all that apply

I require an original invoice to be mailed to me.

I require a copy of my invoice to be e-mailed to me.

I require my invoice to be mailed to my School Division Office for payment.
      Please provide the complete name and mailing address and e-mail address
      of your school division in the spaces provided.

     Name & Mailing Address of School Division Office:
    Enter name and mailing address of school division office here.
     Email Address of School Division Office:

If you wish to pay your invoice by Visa, MasterCard or American Express, please call the SDA Provincial Office after you receive your invoice.

Survey
Saskatchewan Drama Association is required to submit annually to SaskCulture, Inc., as part its funding follow-up profile, statistical information regarding SDA programs and services. The following survey will help SDA compile the required information. All information collected is kept in confidence and will not be used for any other purposes.

PLEASE FILL OUT ALL SECTIONS THAT ARE APPLICABLE
TO YOU AND YOUR STUDENTS

Section 1 - Program - Please choose only one and fill out the remainder of the survey that pertains to the program selected.
	Professional Development Conference	Adult Apprenticeship Program
	Regional Festival	Adjudicator Training Workshop/Meeting
	Provincial Festival	Drama Workshop
	Middle Years Festival	Other: Please specify below
	Student Playwriting Competition

Section 2 - Membership - Please check one.
	Youth (0 - 29 years)
	Adult (30 - 54 years)
	Senior (55 + years)

Section 3 - Participants (include SDA members in this total). Please estimate the percentage (%) for the following:
	% Pre-School (0 - 4 years)	% Older Youth (19 - 29 years)
	% Elementary School (5 - 14 years)	% Adult (30 - 54 years)
	% High School (15 - 18 years)	% Senior (55+ years)

Section 4 - Employment Have you been employed by SDA on a contract or part-time basis within the last 12 months?
Yes No
Are you of First Nations/Métis Ancestry (self-declared)?
Yes No

Section 5 - Volunteers Please provide your best estimate of the total number of individuals supporting your drama group/club as follows:
	Total number of volunteer roles
	Total number of volunteer instances
	Total number of volunteer hours
Please estimate the breakdown of volunteers in the following categories:
	Youth (0-29 years)	First Nations/Métis
	Adult (30-54 years)	Northern resident
	Senior (55+ years)	Rural resident

Section 6 - Audience (To be completed by Festival and Other Program Hosts only). Please estimate the breakdown of your audience in the following categories:
	Youth (0-29 years)	First Nations/Métis
	Adult (30-54 years)	Northern resident
	Senior (55+ years)	Rural resident

Section 7 - Mary Ellen Burgess Library In the Last 12 months, please estimate the number of times you have accessed the Mary Ellen Burgess Library:
	Online	Other (phone/fax/e-mail, etc.)
	In Person	I have not used the library

THANK YOU FOR COMPLETING THIS SURVEY. IF YOU WOULD LIKE TO HAVE YOUR NAME ENTERED FOR A FREE MEMBERSHIP DRAW, PLEASE INDICATE BY FILLING IN THE FOLLOWING INFORMATION:
Name:
Address:
City:
Postal Code :
Phone Number :
Email:
Teacher Certificate # (if applicable):