Stage It! 10-Minute Plays Competition: Submission Form STAGE IT! 10-MINUTE PLAYS Submission Form Complete the form below Name: Address: City: State: Zip Code: Phone: Email: Number of Entries: 123 Play #1 Title: Play #2 Title: Play #3 Title: Was(Were) the play(s) previously published? Yes No Was(Were) the play(s) previously produced? Yes No Would you like to receive written feedback from the adjudicators? Yes No Playwright Bio: (optional) I certify that the play(s) I have submitted has(have) not been previously published. I also grant the Centers for the Arts Bonita Springs rights to publish and to perform a reading or series of readings in Bonita Springs wihtout royalty payment. Centers for the Arts will include a statement in the published book explaining that purchase of the book does not grant rights or permission to perform the work. For additional information email firstname.lastname@example.org or call 239-495-8989.