Nutcracker Performance Educational Registration Form 2019
Thursday, December 12 at 9:30am
Thursday, December 12 at 11:45am
Friday, December 13 at 10:00am

The cost is $5.00 per person including teachers, bus drivers and chaperones.

Kannapolis Performing Arts Center
Located at A.L. Brown High School in Kannapolis
415 East 1st Street

Name of School *
Your answer
School's Street Address *
Your answer
School's City, State & Zip Code *
Your answer
Contact Person's First & Last Name *
i.e. Sally Jones
Your answer
Contact Person's Telephone Number *
Your answer
Contact Person's Email *
Your answer
# Attending @ $5.00 Per Person *
Your answer
Grade Level(s) of Students Attending *
Your answer
Special Needs Students *
Please list the number of special needs students attending and any thing they may need such as handicap seating, a seat closer to the front for visually impaired, etc.
Your answer
Total Amount To Be Paid to Piedmont Dance Theatre *
Your answer
Performance Date & Time *
Piedmont Dance Theatre is unable to refund confirmed/paid seating. *
Seats will NOT be reserved or held until payment is received. *
Please indicate if your school accountant needs a W-9 form from Piedmont Dance Theatre to process payment. *
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