Van Wezel Ticket Request Form- Schooltime 2021-2022

Question Title

* 1. Teacher Information

Name

School

Grade Level

Address

City/Town

State/Province

ZIP/Postal Code

Teacher Email Address

Teacher Phone Number

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* 2. Bookkeeper information

Name

Bookkeeper Email Address

Bookkeeper Phone Number

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* 3. District/County:

Charlotte

Desoto

Manatee

Sarasota

Charlotte

Desoto

Manatee

Sarasota

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* 4. Type of School:

Public

Private

Home School

Other

Public

Private

Home School

Other

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* 5. My School is a Title 1 School:

Yes

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* 6. Select the Schooltime Performance(s) at Van Wezel Performing Arts Hall you would like to attend.

The Pout Pout Fish at 10:00am (Monday, April 25, 2022)

The Pout Pout Fish at 11:45am (Monday, April 25, 2022)

Rosie Revere and Friends at 10:00am (Friday, May 6, 2022)

Rosie Revere and Friends at 11:45am (Friday, May 6, 2022)

Question Title

* 7. Select the Schooltime Performance(s) at North Port High School you would like to attend.

The Pout Pout Fish at 11:45am (Wednesday, April 27, 2022) LIMITED SEATING

Rosie Revere and Friends at 10:00am (Thursday, May 5, 2022)

Rosie Revere and Friends at 11:45am (Thursday, May 5, 2022)

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* 8. Total Number of Participants:

TOTAL TICKETS NEEDED

Teachers:

Students:

Chaperones:

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* 9. What accommodations do you require?

Wheelchair Accessible locations

Hearing Loop Assistance

ASL Interpretation

We do not require any accomodations.

Other (please specify)

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* 10. ALL in person Schooltime Performance seats, students or adults are $7 each.
Please check box(s) for acknowledgement:

I understand a deposit of $50 per performance is required within 2 weeks to hold your reservation(s).

I understand if I am a public school requesting a ticket scholarship, writing a classroom grant or have an extenuating circumstance to prohibit a deposit, I must contact Margaret Lindsey immediately.

I am a public school planning to request bus reimbursement. I understands trips requiring use of charter buses (In the event school transportation is not available) must be approved by Van Wezel PRIOR to reserving bus transportation.

I understand final payment is due 30 (thirty) days prior to the performance, or your reservation will be cancelled, and deposit forfeited.

Van Wezel Ticket Request Form- Schooltime 2021-2022

Question Title

* 1. Teacher Information

Question Title

* 2. Bookkeeper information

Question Title

* 3. District/County:

Question Title

* 4. Type of School:

Question Title

* 5. My School is a Title 1 School:

Question Title

* 6. Select the Schooltime Performance(s) at Van Wezel Performing Arts Hall you would like to attend.

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* 7. Select the Schooltime Performance(s) at North Port High School you would like to attend.

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* 8. Total Number of Participants:

Question Title

* 9. What accommodations do you require?

Question Title

* 10. ALL in person Schooltime Performance seats, students or adults are $7 each.Please check box(s) for acknowledgement:

* 10. ALL in person Schooltime Performance seats, students or adults are $7 each.
Please check box(s) for acknowledgement: