You must have JavaScript enabled to use this form. 1 Start 2 Complete Region Number - None -1234a4b5678910 Festival Dates Festival Chair Email * Submitted By: Submitter Email Theatre Name ______________________________________________________________________________________________________________________________________ Representation and Legal Notice This representation is a guarantee to the American Association of Community Theatre (hereinafter AACT) and festival host(s) by: This representation is a guarantee to the American Association of Community Theatre (hereinafter AACT) and festival host(s) by: (hereinafter Theatre) a(n) whose legal notice mailing address is: C/O Name Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip as and for partial consideration for the entry of its production in the 2025 AACTFest for the State of - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Region Number - None -1234a4b5678910 ______________________________________________________________________________________________________________________________________ Warranty of Compliance The Theatre hereby warrants that: - it has secured performance rights and paid royalties for this production to the licensing agency listed below, and, if needed, has secured written permission to cut the script; and, has documentation of written permission to copy any script, published or unpublished. * - it has secured performance rights and paid royalties for this production to the licensing agency listed below, and, if needed, has secured written permission to cut the script; and, has documentation of written permission to copy any script, published or unpublished. - it has obtained all necessary music rights, and rights for art, photographic (still, movie, video), visual, and any others that may be utilized in the production, that are not in the public domain, and holds AACT, its agents, employees, and subcontractors harmless and free from all financial responsibilities connected with the production and the acquisition of rights. * - it has obtained all necessary music rights, and rights for art, photographic (still, movie, video), visual, and any others that may be utilized in the production, that are not in the public domain, and holds AACT, its agents, employees, and subcontractors harmless and free from all financial responsibilities connected with the production and the acquisition of rights. ______________________________________________________________________________________________________________________________________ Licensing Agency Agency Name: Website If Agency is an individual or not well known: Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip ______________________________________________________________________________________________________________________________________ Authorization As the authorized theatre representative, I execute and submit this Warranty under the express, formal authority of the Theatre’s governing body. * As the authorized theatre representative, I execute and submit this Warranty under the express, formal authority of the Theatre’s governing body. Theatre Name Theatre Representative Name Theatre Representative Title Theatre Representative Phone Theatre Representative Email Electronic Signature Agreement - By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. * I Accept E-Signature * Leave this field blank