Dedication Form

Theatr Bara Caws, and Uninvited Guests: Gair o Gariad(A Welsh adaptation of Love Letters Straight from your Heart by Uninvited Guests and Fuel)

Please send your form to: gairogariad@gmail.com

or: Theatr Bara Caws, Uned A1, Stâd Ddiwydiannol Cibyn, Caernarfon, LL55 2BD

Name:

(if you wish to remain anonymous in the show, please tick this box)

gf If I am handing this form in at Pontio, I am happy for Pontio to pass on my data to Theatr Bara Caws (please tick the box)

Email address and telephone number (should we need to contact you):

Date and location of performance you will be attending:

Name of song/piece of music:

Who are you dedicating it to and why? Why is this person and the song important to you? (100 words approx)

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Tell us about a particular memory you have of that person/what is the song’s significance/does the song remind you of a specific occasion? (100 words approx)

Tell us, from the bottom of your heart, what you feel. If you were to meet that person face to face, what would you say? (Approx 100 words)

Please note that this is a Welsh language production.

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