stage doorsEDUCATION SERIES 2012-2013REGISTRATION FORM
Time (indicate preference)
# Paid Students
# Paid Chaperones
# Comp* Chaperones
TOTAL AMOUNT DUE (Four weeks prior):
* One complimentary chaperone allowed for every 15 paid students. ** Payment due four weeks prior unless otherwise noted.
A scholarship application will be submitted for this registration. Application can be found here.
I understand that scholarship applications must be mailed or faxed within 48 hours of submitting this registration. Final pricing will be determined upon scholarship application review. You will be informed of your scholarship status by email or letter.
If you or your students require any accessibility accommodations, please indicate below. We require at least three weeks advance notice to provide these services.
Please enter the number of students/adults requiring:
REGISTRATION PROCEDURES - NO PHONE ORDERS PLEASE. All reservations must be made in writing (web registration, fax or mail). No payment required to register.
1. Incomplete forms will be returned. Retain a copy for your records. Estimate the number of seats required as closely as possible, allowing for possible additional seats (it is
easier to release unneeded seats than to add seats). Adjustments of up to 15% in either direction will be allowed prior to our receiving final payment. No additions less than one
week before the performance date.
2. IF YOU DO NOT RECEIVE A PURCHASE AGREEMENT WITHIN TWO WEEKS, PLEASE CONTACT US. Your registration
form may not have been received! The purchase agreement must be signed and returned within two weeks to hold your reservation. Full payment must be received a minimum
of FOUR WEEKS prior to the performance date or your seats WILL BE RELEASED. After final payment is received, no reductions will be allowed in the number of seats reserved.
QUESTIONS? Call (920) 465-5100 or e-mail firstname.lastname@example.org
Show descriptions, policies, and procedures available at www.weidnercenter.com
Please review your order carefully before submitting the registration. The next screen will provide a confirmation that you can print for your records.
A copy will also be sent to the email address you provided.