THE FALL
ST. ANN'S WAREHOUSE YOUTH EMPOWERMENT WORKSHOP APPLICATION

Thank you for your interest in the youth engagement program around the Baxter Theatre of Cape Town’s production of THE FALL.

Tickets $10 for NYC DOE Public Schools

Student Matinee and Talkback: Thursday, March 22 @ 2 PM
Youth Empowerment Day Workshop: Thursday, March 22 10 AM - 1 PM. Lunch will be served

APPLICATION DEADLINE: FEBRUARY 16, 2018

First Name *
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Last Name *
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Email *
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Phone Number *
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School Name *
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Title 1 Eligibility (%)
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TICKET REQUESTS
Student Matinee: Thursday, March 22 @ 2pm
How many student tickets are you requesting? (Due to limited space we ask that schools limit the number of students participating to 5 maximum.) *
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How many teacher/chaperone tickets are you requesting? (Maximum 2) *
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Does anyone from your school need ADA accessible seating? If so, please note how many.
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Please share why you'd like your students to participate in this program. * *
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