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:

()-

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:

Answer the question below:

Is six > than one? (true/false)

(please enter the answer to the question or statement)

NOTE: Seating will be assigned based on the date the completed registration is received. 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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