3º. FESTKAOS – FESTIVAL TEATRO DO KAOS Ficha de Inscrição ESPETÁCULO:__________________________________________________________________ AUTOR: ______________________________________________________________________ ADAPTAÇÃO: _________________________________________________________________ DIREÇÃO: _____________________________________________________________________ ELENCO: Ator Personagem _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ _______________________________________________ __________________________ CENOGRAFIA:__________________________________________________________________ FIGURINOS:___________________________________________________________________ ILUMINAÇÃO:__________________________________________________________________ MAQUIAGEM:_________________________________________________________________ TRILHA SONORA:_______________________________________________________________ QUANTIDADE DE PESSOAS (ELENCO E TÉCNICA):______________________________________ DADOS DO RESPONSÁVEL: NOME:_________________________________________________________________ ENDEREÇO____________________________________________________________________ BAIRRO:_____________________________CEP:_____________________________________ CIDADE:_______________________________________ESTADO:________________________ TELEFONE FIXO E CELULAR:_______________________________________________________ E-MAIL:_______________________________________________________________________ DADOS DA COMPANHIA: RAZÃO SOCIAL:______________________________________________________________ NOME FANTASIA:_______________________________________________________________ ENDEREÇO:____________________________________________________________________ BAIRRO:_____________________ CIDADE:___________________________ESTADO:________ CEP:_______________ EMAIL:____________________________________________________ TELEFONES:_______________________________ CNPJ:_______________________________ INSCRIÇÃO ESTADUAL:__________________________________________________________ INSCRIÇÃO MUNICIPAL:_________________________________________________________ ____________________________________________________ Nome e assinatura do responsável