Ballet Quad Cities - Register for a School Matinee

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Student Matinees

Please select the event for registration:
School Name:
Address:
City:
State:
Zip:
Phone Number:	( ) - Second three digits Last four digits
Email:
Grade:
Contact Name:
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. 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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