Madrigal Dinner Ticket Reservation Form
Please complete every portion of this form. Please fill out a separate reservation request for each performance you would like to attend. Tickets will be reserved on a first-come, first-served basis. You will be contacted with availability and a date payment is due. TICKETS WILL NOT BE OFFICIALLY RESERVED UNTIL PAYMENT IS RECEIVED. If you have any problems with this document, please call 309-336-6109.
If wheelchair seating is needed, please contact Ben Luginbuhl at
First & Last Name
Phone Contact (you may list more than one)
Please check if applicable
*Note: this is for clerical purposes only. Tickets are distributed on a first-come, first-served basis.
I am the parent of a performing singer/actor and I have NOT purchased any tickets yet
I am the parent of a performing singer / actor and I have already purchased tickets (this is an additional request)
I am the parent of a performing instrumentalist
I am a NCHS staff member
I am a NCHS student
Performance you would like to attend
Friday, November 30, 6:30 pm Dinner ($18)
Saturday, December 1, 1:00 pm (Dessert Only-$10)
Saturday, December 1, 6:30 pm Dinner ($18)
Number of tickets requested.
Tables seat a maximum of 12 people, but you do not need to buy a whole table.
I understand that if payment is not received by the date stated in my confirmation letter, that my reservation will be cancelled.
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