Ballet Quad Cities - Register for a School Matinee

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Home » Education & Outreach » Student Matinees » Register for a School Matinee

Please select the event for registration:
School Name:
Address:
City:
State:
Zip:
Phone Number:	()-First three digitsSecond three digitsLast four digits
Email:
Grade:
Name of Teacher(s):
Total Number of Tickets at $3.00 per STUDENT:
Total Number of Tickets at $3.00 per TEACHER:
Total amount of check made payable to Ballet Quad Cities (no cash please):
Total number needing wheelchair seating or special assistance:
Transportation you will use:
If buses, please indicate how many:
Security Code:

NOTE: Seating will be assigned based on the date the completed registration is received. Seating confirmation will be mailed to the above address. Educator Guides are available for all classroom teachers. Please visit www.balletquadcities.com for a form to request an in-school visit.

Questions? Call Ballet Quad Cities (309) 786-3779

Please send a check payable to Ballet Quad Cities to:
Ballet Quad Cities/School Matinee
613 17th Street
Rock Island IL 61201

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