Media Access Form
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2017 National Black Theatre Festival ® July 31 - August 5 An International Celebration & Reunion of Spirit Larry Leon Hamlin Art Evans Founder Media Clearance Request Lawrence Evans Sylvia Sprinkle Hamlin Kim Fields Executive Producer Morgan Freeman Nigel Alston Arthur French Executive Director COMPANY NAME ___________________________________ Marla Gibbs Jackie Alexander P. J. Gibson Artistic Director Danny Glover ADDRESS ___________________________________ Micki Grant National Advisory Board Dick Gregory Pam Grier ___________________________________ Chairpersons Tommy Hicks The Late Dr. Maya Angelou Maurice Hines 1989 Laurence Holder PHONE/EMAIL ____________________________________ The Late Ossie Davis 1991 Jennifer Holliday The Late Ruby Dee 1991 Robert Hooks Harry Belafonte 1993 MEDIA REP. (S) ____________________________________ Lawrence-Hilton Jacobs Sidney Poitier 1993 Wilbert T. Jenkins Della Reese 1993 ____________________________________ Ebony Jo-Ann Billy Dee Williams 1995 ____________________________________ Louis Johnson Debbie Allen 1997 Allen Joines Leslie Uggams 1999 ____________________________________ Ella Joyce André DeShields 2001 (Name(s) as it should appear on media badge) Woodie King, Jr. Hattie Winston 2001 LaChanze Malcolm-Jamal Warner 2003 Dawnn Lewis Melba Moore 2003 SUPERVISOR ____________________________________ Norm Lewis Janet Hubert 2005 Marcella Lowery Joseph Marcell 2005 Stephanie Mills Hal Williams 2007 Barbara Montgomery Vanessa Bell Calloway 2007 Novella Nelson Wendy Raquel Robinson 2009 Type of Media (please circle) Print TV Radio Digital Shauneille Perry Ted Lange 2009 Lynn Nottage T'Keyah Crystal Keymáh 2011 Note: Those cleared for television coverage will be issued (2) videography badges James Pickens, Jr. Lamman Rucker 2011 Those cleared for newspaper coverage will be issues (2) photography badges Joan Pringle Tonya Pinkins 2013 (These are in addition to reporter passes) Sandra Reaves-Phillips Dorien Wilson 2013 Vivian Reed Debbi Morgan 2015 Arthur M. Reese Darnell Williams 2015 Richard Roundtree Roz Ryan National Advisory Board Ntozake Shange DATES ATTENDING THE FESTIVAL: ATTENDING ALL WEEK John Amos Ashton Springer Jeffery Anderson-Gunter Tonea Stewart Margaret Avery I will be attending the following dates (Festival runs July 31- August 5) Count Stovall Ethel Ayler Garland Lee Thompson, Jr. Hinton Battle Glynn Turman Cicely Tyson Ed Bernard Taurean Blacque Dr. Glory Van Scott Charles Burnett Denzel Washington Karen Malina White Avery Brooks Richard Brooks Lillias White Petri Hawkins Byrd Lynn Whitfield Ed Bullins Authorizing Signature: ______________________________________ Carol Woods Diahann Carroll Ralph Carter Anthony Chisholm Bill Cobbs Keith David Carmen de Lavallade You may fax to NBTF Attn. Media Clearance (336) 723-2223 Ja’Net DuBois Bill Duke Request will be reviewed and if approved you will be contacted by the Starletta DuPois NBTF Media after July 17, 2017 Charles Dutton An International Outreach Program of the North Carolina Black Repertory Company Celebrating 38 Years of Excellence in Professional Black Theatre 610 Coliseum Drive Winston-Salem, NC 27106 (336) 723-2266 Fax: (336) 723-2223 Websites: www.nbtf.org - www.ncblackrep.org Email: [email protected] The North Carolina Black Repertory Co. is supported by the N.C. Arts Council, a division of the Department of Cultural Resources and the Arts Council of Winston-Salem and Forsyth County in our City of Arts and Innovation. .