Live Performance Award Form

Please supply the information below to submit your award reimbursement.

About You: Email* Name* Phone* School/Program* USITT 2019 Tech Olympics Event Award for:* About the Performance: Performance Title* Performance Date* Producing Organization/Venue* Number of Tickets* Total Amount for Award Reimbursement* Please upload a photo or copy of your purchase receipt or ticket(s) below Photo/File*