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Registration for the Apollo Awards Program

Available to schools in Cumberland, Dauphin and Lebanon County.

*All fields are required.  
School Name
School Address
 
Name of Play
Date and time of performance
  Month:
Day:
e.g. Thur 15th 7 PM - Sat 17th Noon and 7 PM
Accurate Directions to the Performance
Phone number for ordering tickets
Contact Person
Title
Date of Birth
  Month:
Day:
Year:
e.g. 1975
Address
 
City
Zip
Home Phone
Cell Phone
Email Address
Yes, I'll send the registration fee ($55.00) to the Hershey Theatre by October 1, 2008 (Is this changing??).
Yes, I agree to hold eight (8) tickets for each performance until given specific dates and times.
The leading roles I would like to have evaluated are:
The supporting roles I would like to have evaluated are:

Hershey Theatre • 15 E. Caracas Avenue • PO Box 395 • Hershey, Pennsylvania 17033 • (717) 534-3405

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