Brick by Brick

1
To whom do we owe our utmost gratitude to for helping us continue to support local improv theatre here in State College?* This field is required.You can add another name on the next page.
First Name
Last Name
2
Is there another person we should be sure to thank?
First Name
Last Name
3
What is the email address we should have on file for communication?* This field is required.
example@example.com
4
What is a good phone number to reach you at with any questions?
Area Code
Phone Number
5
What mailing address should we use to offer thanks?* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
6
An Adoption Certificate ExampleOn the next page, you'll be asked to finalize your adoption, choose your method of payment, and add your message for your improviser that we will post in our new Green Room for them to see before every show.
7
Which Improviser Would you Like to Adopt?Select which improviser you'd like to adopt. If you'd like to adopt multiple improvisers, you have to fill out this form again so we know which message to send!
Please Select
Please Select
Corey Black
Jason Browne
Jess Bruce
Ed Conklin
Rich De Luca
Katie DeFiore
Max Duprey
Jackie Gianico
Tamy Guimarães
Pedro Guimarães
Brenden Jeziorski
Tyler Jones
Gabby Lowenthal
Melissa Lunderby-Tobin
Andrea McCloskey
Brandon Rhodes
Clay Richardson
Dawn Rosenbaum
Nate Rufo
Viky Sapkota
David Schillinger
Lauren Schneider
Zach Shukan
Becca Slotkin
Angel Soto
Lauren Steinberg
Luke Streich
James Tierney
Scott Yabiku
8
What method of payment do you want to use?* This field is required.If you choose Cash or Check, please stop by the theatre at 209 W Calder Way to make your contribution. Or, mail a check to PO Box 354, State College PA, 16804
Cash or Check
Credit Card
9
Adopt-an-Improviser Program Payment* This field is required.Thank you for helping us upgrade the theatre!
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Adopt-an-Improviser
Support a star at Blue Brick Theatre! For $100, adopt an improviser and send a personal message to inspire them, displayed in the green room. Your contribution upgrades our facilities and supports community programs. Multiple adoptions welcome!
Edit
Back
Total cost
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
ACH Bank Transfer
Account Holder Name
10
Name or Anonymous?When we put your message in the green room, do you want your name associated with the message? Or do you want it to read 'anonymous'?
Name (First Only)
Name (First and Last)
Name (First and Last Initial)
Anonymous
Other (please email and let us know!)
11
Here’s the fun part! As part of your adoption, you can send your improviser a message that will be placed in the new Green Room for them to see before each performance. Please keep this to four sentences or less. We need it to fit on an index card! If left blank, we will use "Somebody Loves You"
12
Feel free to send any questions or messages to us below. We thank you for helping us continue to grow the improv scene here in State College!-Happy Valley Improv Leadership Team
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: