Eclipsed: 10,000 Girls Campaign
Complete applications will be evaluated by a panel of program advisors in the order received. Approved applicants will be notified by email and advised of available tickets to one or more of the performances indicated above. Tickets to Eclipsed are limited and subject to availability. Transportation to or from the theatre is not included in the grant. Decisions made by BEA advisors regarding this program are final.

Eclipsed: 10,000 Girls Campaign is managed by the Broadway Education Alliance, a non-profit organization. (Tax ID #32-017801). For more information, visit www.bealliance.org.

A representative will contact you within a few days to discuss the details around your group involvement with the program.

CONTACT INFORMATION
Organization Name
Your answer
Website
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Telephone Number
Your answer
Contact Name
Your answer
Email Address
Your answer
Program Benefactor(s) if applicable
Your answer
PERFORMANCE SELECTION
From the below list of available dates, select 3 performances that your organization can attend, in order of preference:

Wednesday Matinee at 2 pm — May 4, 11, 18, 25; June 1, 8, 15
Wednesday Evening at 8 pm — May 4, 11, 18, 25; June 1, 8, 15
Thursday Evening at 8 pm — May 5, 12, 19, 26; June 2, 9, 16
Friday, Evening at 8 pm — May 6, 13, 20, 27; June 3, 10, 17
Saturday, Matinee at 2 pm — May 7, 14, 21, 28; June 4, 11
Number of tickets requested
Your answer
1st Choice Performance
Your answer
2nd Choice Performance
Your answer
3rd Choice Performance
Your answer
Additional Information
Biography of your organization (no more than 250 words)
Your answer
Description of how your organizations’ mission helps further the goals of Eclipsed: 10,000 Girls Campaign
Your answer
A profile of the young women who will be attending a performance of Eclipsed at the Golden Theater on Broadway
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms