Your Name:
E-mail:	(Ex.: yourname@gmail.com)
School or Theatre Company you're associated with:
# of General Admission Tickets ($20):	0 1 2 3 4 5 6 7 8 9 10
# of Award/Nominee Ticket Comps (Non-Transferable):	0 1 2 3 4
Name(s) of award winners/nominees/performers:
# of Member Ticket Comps:	0 1 2 3 4
Member Name(s):
Become a Member:	$30 - Annual Student Membership $80 - Lifetime Student Membership $50 - Patron $100 - Benefactor
Yearbook/T-Shirt/DVD Combo Pack:  Combo is $45 (saves $10)	Qty: Yearbook & T-shirt to be picked up at  registration table. DVD mailed in September.
Yearbook of the ceremony: $20 for pre-paid orders/$25 for orders to be mailed later	Qty: Yearbook(s) to be picked up at registration table (Place a yearbook ad) To submit candid photos for possible inclusion in yearbook, e-mail  them to rob@nationalyouththeatre.com 10 days before ceremony.
NYA T-Shirt: (available for pick up at the ceremony) Prepaid NYA T-shirts are $15 (T-shirts $20 if purchased after the ceremony)	Qty: Small (all sizes are "adult" sizes) Qty: Medium Qty: Large Qty: X-Large Qty: XX-Large
DVD of the ceremony: $20 for pre-paid orders	Qty: DVD(s) Please mail DVD to:
I would like to subscribe to the NYA Newsletter
I would like to Volunteer at the ceremony if needed (Name):
I'm interested in becoming a Judge for National Youth Arts (Name):
I may be interested in being on the NYA Student Board (Name):
Other Comments:
* Please note, we will calculate your order and send you an e-mail with a itemized bill when we can confirm your seats *