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PNC Arts Alive Family Day at the Opera Registration
Please complete this form to register.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Salutation
*
Choose
Mr.
Mrs.
Ms.
Dr.
Reverend
Patron ID
If you have an OCP Patron ID number, please enter it here.
Your answer
Age of Persons Attending
*
Please indicate how many people that will attend with you in each age group. (You will need to select a value for each age group.)
0
1
2
3
4
5 & under
6-11 years
12- 17 years
18-21 years
21-35 years
36-45 years
46-55 years
56 and older
0
1
2
3
4
5 & under
6-11 years
12- 17 years
18-21 years
21-35 years
36-45 years
46-55 years
56 and older
Address 1
*
Your answer
Address 2
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
Email address
*
Your answer
Confirm Email address
*
Your answer
Entrance Time
*
When do you plan to arrive?
Choose
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
Would you like to receive information about other Opera Company youth programs?
*
Yes
No
How did you hear about PNC Arts Alive Family Day at the Opera?
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Your answer
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