stage doors       EDUCATION SERIES 2013-2014       REGISTRATION FORM

INFORMATION


  Public
  Private/Parochial
  Home School/Family
  Childcare Center

How will you be traveling to the Weidner Center? (Please indicate number):

PERFORMANCES

Performance Date Time
(indicate preference)
# Paid
Students
Student
Price
# Paid
Chaperones
Chaperone
Price
# Comp*
Chaperones
Payment
Due**
Total
Due
EXAMPLET 09/04/12 10am   12:30pm 50$71$7308/07/12$357
Henry and Mudge - Show OnlyT 04/22/14 10am   12:30pm$7$703/25/14$
Henry and Mudge - Show & Children's MuseumT 04/22/14 Opt. 1   Opt. 2$10$1003/25/14$
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.


Accessibility

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 weidnereducation@uwgb.edu
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.