SHINE Performance Request Form
Greetings! Below is the request form for SHINE! Please fill out the form below and a representative will contact you in the next 3 - 5 days with a response. (If you would like to request a performance other than SHINE, please visit www.LSODance.com) All performances by the LSODance Company are family friendly and open to audiences of all ages. If you have a question or concern that needs immediate attention, please email us directly at info@LSODF.org
What is the first and last name of the person who will completing the paperwork for this request? *
Ex. Jane Smith
Your answer
What is the name of your organization or institution? *
Ex. Michigan Academy of Excellence
Your answer
Who will be the main contact person for your group? *
Ex. Jane Smith
Your answer
What is the street address of your institution/organization? *
Ex. 1111 First Ave.
Your answer
What is the city, state and zip code of your institution/organization? *
Ex. Oak Park, MI 48237
Your answer
What is the phone number for the contact person of your group? *
Ex. (313) 555 - 5555
Your answer
What is the email address of the contact person for your group? *
Your answer
What is the date of the performance? *
If you wish to attend SHINE at WSU, the date is 3/1/18. If you are requesting a performance at your own location, please fill in the date below.
Approximately how many students will be attending the performance? *
Ex. 130
Your answer
Approximately how many adults/chaperones will be attending the performance? *
ex. 25
Your answer
Please check the item that best describes your request. *
Required
Please check all items that best describe your location
If you are attending the school matinee of SHINE! please skip this question
If there are any other comments you would like to share, please do so in the space provided.
Your answer
Thank you for your interest in SHINE! Once your submission has been reviewed, you will be contacted with more information. Please be aware that filling out this form does not guarantee tickets/performance. Once details and pricing have been discussed, you will receive a formal contract and payment information. Please check below to verify that you have read this statement. *
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