stage doors       EDUCATION SERIES 2014-2015       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 09/02/14 10am   12:30pm 50$71$7308/04/14$357
Junie B. in Jingle Bells...M 12/08/14 10am   12:30pm$7$711/10/14$
Very Hungry Caterpillar - Show OnlyF 01/30/15 10am   12:30pm$7$701/05/15$
Very Hungry Caterpillar - Show & Children's MuseumF 01/30/15 Opt. 1   Opt. 2$10$1001/05/15$
Freedom Bound - Show OnlyTh 02/19/15 10am   12:30pm$7$701/22/15$
Freedom Bound - Show & Heritage HillTh 02/19/15 Opt. 1   Opt. 2$10$1001/22/15$
Sid the Science Kid - Show OnlyF 02/20/15 10am   12:30pm$7$701/23/15$
Sid the Science Kid Show & Children's MuseumF 02/20/15 Opt. 1   Opt. 2$10$1001/23/15$
Doktor KaboomT 03/03/15 10am   12:30pm$7$702/03/15$
Dinosaur Train - Show OnlyM 03/09/15 10am   12:30pm$7$702/09/15$
Dinosaur Train - Show & Children's MuseumM 03/09/15 Opt. 1   Opt. 2$10$1002/09/15$
Ivy & BeanT 03/10/15 10am   12:30pm$7$702/10/15$
Laura Ingalls Wilder - Show OnlyT 04/28/15 10am   12:30pm$7$703/31/15$
Laura Ingalls Wilder - Show & Heritage HillT 04/28/15 Opt. 1   Opt. 2$10$1003/31/15$
Alexander & the Very Bad Day - Show OnlyF 05/15/15 10am   12:30pm$7$704/17/15$
Alexander & the Very Bad Day - Show & Children's MuseumF 05/15/15 Opt. 1   Opt. 2$10$1004/17/15$
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.