stage doors       EDUCATION SERIES 2022-2023       REGISTRATION FORM

INFORMATION



Please indicate the number of vehicles requiring parking at the Weidner Center:
Would you be interested in having a teaching artist visit your classroom?

Would you be interested in the Extend the Day program if it is added in conjunction with these performances?

PERFORMANCES

Performance Date Time
(indicate preference)
# Paid
Students
Student
Price
# Paid
Chaperones
Chaperone
Price
# Comp*
Chaperones
Payment
Due**
Total
Due
EXAMPLETh 12/01/22 10am   12:30pm 50$71$7311/01/22$357