Children's Performance Reservation

EIU On-Campus Children's Performance Reservation form
You will be contacted by e-mail or telephone to confirm exact date/time

Use "TAB" or mouse clicks to make entries

Name of School
Contact Name
School Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
School or Contact Phone - (###) - ### ####
Email
Preferred date(s)/time(s) for attending performance? (Check all that apply) Monday, April 16 - 9:30 Monday, April 16 - 1:00 Tuesday, April 17 - 9:30 Tuesday, April 17 - 1:00 Wednesday, April 18 - 9:30 Wednesday, April 18 - 1:00 Thursday, April 19 - 9:30 Thursday, April 19 - 1:00 Friday, April 20 - 9:30 Friday, April 20 - 1:00
Number of seats needed?
Any handicap seating or assisted listening devices needed? Describe.
Grades attending?
Number of buses bringing?
Number of vans bringing?
Number of cars bringing?
Have you or will you be applying for the Jaenike Access to the Arts grant?
Comments including requests for tours, etc. - include details.