Outreach Program Form
Once you have filled out the form, our Education Coordinator Elexa Bancroft will contact you via email or phone.
Email address *
Your Name *
Your answer
Point of Contact Email *
Your answer
Contact's relationship/position at school or venue? *
Your answer
Point of Contact Phone Number *
Your answer
Additional Contact Email *
Your answer
Contact's relationship/position at school or venue? *
Your answer
Additional Contact Phone Number *
Your answer
Who will be providing the payment? *
Your answer
What is their contact information? (email and phone number) *
Your answer
How flexible is your schedule for a performance? *
Your answer
Date you prefer *
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DD
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YYYY
1st Alternate Date *
MM
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DD
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YYYY
2nd Alternate Date *
MM
/
DD
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YYYY
Time *
Time
:
1st Alternate Time *
Time
:
2nd Alternate Time *
Time
:
School/Venue *
Your answer
School?Venue Phone Number *
Your answer
School/Venue Address *
Your answer
Other general Information about the school/venue (where to park, where to check in, etc.) *
Your answer
Describe the performance space.
Your answer
What forms does the school/venue need from Capitol City? *
Your answer
Choice of Show *
How many performances *
City *
Your answer
State *
Your answer
County *
Your answer
Will this be a public or private show? *
How many kids? *
Your answer
What grade(s)? (1st grade, 2nd grade, etc.) *
Your answer
Submit
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