XA Tickets - Request Form
Patient families: Please use this form to request tickets (XA tickets) to various performing arts concerts in the DC/MD/VA area (available concerts: TheXAProject.org/XA-tickets). We will make our best effort to accommodate requests. You will be notified by e-mail about your request (A CONFIRMATION E-MAIL FROM THE XA PROJECT ABOUT RESERVED TICKETS WILL INFORM YOU IF YOU HAVE BEEN SELECTED TO RECEIVE XA TICKETS). The XA Project e-mail: info@TheXAProject.org. [All responses are confidential]
Parent's Phone Number
What concert does your family wish to attend?
How many tickets does your family need?
What hospital is your child receiving treatment? (Check all the apply)
Children's National Medical Center
National Institutes of Health
Holy Cross Hospital
Inova Fairfax Hospital
Do you need wheelchair accessible seating?
How did you hear about The XA Project? (check all that apply)
Performing Arts Organization (e.g., Kennedy Center, Strathmore)
Hospital/Medical Organization (e.g., CNMC, the Children's Inn at NIH)
The XA Project website
Social media (e.g., Facebook, Twitter)
In a few words, what would attending this concert mean to you and your family? (This help us determine ticket distribution)
A copy of your responses will be emailed to the address you provided.
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