Happyville, usa

“Happyville, USA”

Directed by Herman LeVern Jones of TheatreSouth

School/Organization Name:_____________________________________________________________

Address: ___________________________________________________________________

City: _________________ State: ______________ Zip Code: _________________

Phone: (___________) ______________ - ________________________

Email: _____________________________________________________________

Contact Person: _____________________________________________________

Number of Participating Students: ___________________________ (50 Minimum)

Number of Teachers: __________ (one teacher or chaperone for every 20-25 students is required).

Please indicate with a check mark or an “x” which performance (s) you will be attending:

Thursday August 10, 2017: _______ 10 am ________ 1 pm

Friday August 11, 2017: ________ 1 pm ________ 7 pm

All performances will be held at the Pompano Beach Cultural Center located at 50 W. Atlantic Boulevard, Pompano Beach, FL 33060
Upon completion, please email this form to info@theatresouth.net. If you have any additional questions, please call us at +1.305.924.3003. This form can also be mailed to the following address: 815 North Homestead Blvd. Suite 155, Homestead, FL 33030.

Signature: ______________________________________________________
Date:_____________________________________________________________