33rd International Theatrical Festival VALISE

3 - 6 of June, 2020, Łomża (Poland)

Organizational Office:
The Puppet and Actor Theatre in Łomża, plac Niepodległości 14, 18-400 Łomża (Poland)
tel. +48 86 2165955, www: teatrlomza.pl, e-mail: dyrektor@teatrlomza.pl, teatrlomza@hi.pl
NIP: 718-11-38-271, REGON: 001258611

APPLICATION FORM (deadline date 31 January 2020)

Company full name: Country:

City:

Postal address:

Company Director: Phone number: WWW:

E-mail:

Company history (min. 1000 characters):

Performance title:

Description of the performance (min. 1000 characters):

Author: Director: Puppet and scenery design: Music:

Cast (full name and surname, max. 6 actors): Language:

Audience age group: Preferred date of the performance:

 Technical requirements

Stage width: Stage height: Stage depth:

Lighting and sound requirements: Other technical requirements:

Performance length: Set-up time: Time for Dismantling:

Personal information

Number of persons: Woman: Man:

Hotel list (full name and surname, max. 12 participants):

Transport:

Confirmation of the application

Date of application: Authorized signature:

Please, send completed applications and enclosed materials:

 Full technical specifications, stage plan, lighting plan, necessary software and hardware.
 Record of the performance on DVD/VCD/CD or an online video link via e-mail.
 Photos, brochures, posters or any kind of supporting documentation – photos must be high resolution.

Applications and materials should be send to following address:

The Puppet and Actor Theatre, plac Niepodległości 14, 18-400 Łomża, POLAND
or via e-mail:
dyrektor@teatrlomza.pl or teatrlomza@hi.pl