PERFORMANCE DATE

GROUP INFORMATION

Contact person:

Position: Teacher Parent Administrator Other

Name of school:

Public  (Title one school: Yes No)  
Private 

School address:

City:

State: (select state) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip code:

School telephone:

Home telephone:

E-mail address:

Confirm e-mail address:

Best time to be reached during school hours:

Number of students attending the performance:
Grade(s):

Number of adults attending the performance:
(Minimum of one for every ten students)

Would you be interested in a staff-led guided tour of the exhibition following the performance? (A limited number of guided tours are available on each date.)

Yes  No

QUESTIONS/COMMENTS: