STORYBOOK THEATER PRESENTS: Ugly Duckling

Today's date: *

Are you new to SBT/SE? *

Yes

No

Teacher/Contact Name: *

Teacher/Contact email: *

School/Group: *

District: *

Main Address: *

City, State, Zip: *

Main Phone Number: *

Day of Emergency Contact: *

Emergency Contact Number: *

How many seats needed? (Please include Educators, Students, and Chaperones): *

Grade of Attendees (Check all that applies): *

Special Needs: *

STORYBOOK THEATER PRESENTS: Ugly Duckling *

How does your school intend to pay for tickets *

Invoice - PO

Check

Credit Card Credit Card

Credit card information required, either for deposit, or ease of future payment

Credit Card Expiration Date

+-

Select when to process payment *

30 Days before performance

Upon receipt of final contract

PO/Check - 10% deposit upon receipt of application. Remaining balance due 30 days after performance. PO/Check - 10% deposit upon receipt of application. Remaining balance due 30 days after performance.

Other:

Free & Reduced Lunch %: