Out There! Ticket Request Form- 2017
Each ticket request is for one audience member with developmental differences and up to two accompanying guests (parent, caregiver, sibling, etc). This form is a request for a reservation, not a confirmation. You will be contacted by a member of the Bluelaces Team with further details. Each reservation is a suggested $10 donation. Payment will be taken upon confirmation of your ticket.
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Your Name *
Your Email *
Your Phone Number *
Audience Member's Name *
Audience Member's Age *
Name of Accompanying Guest 1 and Relationship to Audience Member *
Name of Accompanying Guest 2 and Relationship to Audience Member
Did you attend last year's production of Out There! at University Settlement's Speyer Hall in May 2016? *
I am available for the following performances... *
Check all that apply
Required
How did you hear about us? *
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