Book-to-Stage Rights Request Form

    * indicates required field


    Producer Information

    Contact Name*

    Your Title

    Your Email*

    Producing Organization*

    Contact Address
    Address 1*

    Address 2

    City*, State* Zip*
    ,

    Telephone*

    Website


    Name, Title, and Email of party signing the contract

    Name*

    Title*

    Email*


    Rights Request

    Type of Inquiry*
    ProfessionalAmateurPuppet
    If Professional, specify your Equity contract:

    Is this for a Contest, Festival, or Conference performance?
    YesNo
    If Yes, please list your sponsoring organization:

    Briefly describe the length and requirements of the cutting requested (if you will be performing the entire show, please state 'entire show'):

    Book Requested*

    Author(s)*

    Adaptor(s)

    Additional Comments:


    Production Information

    Number of Public Performances*

    Number of School Performances*

    Dates (MM/DD/YY) - (MM/DD/YY)*
    -

    Performance Venue*

    Venue Address*
    Address 1*
    Address 2
    City* , State* Zip Code*
    Telephone*

    Number of Seats:

    Average Ticket Price (USD$): $ .00

    What is the average expected percentage (%) of seats to be sold at each performance (estimate, of course): %

    Do you pay your actors?*

    If yes, what is their weekly salary?
    $

    Is this production in English?
    YesNo
    If No, then what language will you perform in?

    Is this a musical?
    YesNo
    If Yes, will you use...
    PianoOrchestrationsOrchestral CD

    Rental period (prior to the opening date)

    Please list the last 3 shows performed and royalty paid (per performance or % of gross): (e.g. AS YOU LIKE IT, $100/performance)
    Show: / Gross $.00
    Show: / Gross $.00
    Show: / Gross $.00

    Additional comments:

    Please prove you are human by selecting the Cup.