201 9 - 20 20 Educational Programming Tickets Request Form School Name: _____________________________________________________ ______ ____ ______ _ Contact/Teacher: __________________ _________ _____________________________________ ___ Contact/Admin : _____________________________________________________ __________ __ ___ School Address: _____________________________________________________ __________ __ ___ School # : ________ ____ __ ___ _ __ Fax # : ____________________ Cell # :_____ _ _ ___ ___ __ _ _ ___ Contact Email:_________________ ________ _________________________________________ __ _ School Shows: _______ Harlem 100 ($1 5 ): Oct 9 th ( 9:30am__/11:30am__ ) ________Ballet X ($1 5 ): Oct 21 st ( 10 : 0 0am) ________The Ugly Duckling ($12): Oct 28 th (9:30am__/11:30am__) ________Rainbow Fish ($12): Nov 11 th (9:30am__/11:30am__) ________ Nat Geo LIVE: Mireya Mayor ($1 5 ): Nov 18 th (9:30am) ________ Angelina Ballerina ($12): Dec 16 th (9:30am__/11:30am__) ________ Nat Geo LIVE: Kevin Hand ($1 5 ): Jan 22 nd (9:30am) ________Walk On: The Story of Rosa Parks ($12): Jan 27 th (9:30am__/11:30am__) ________ Nat Geo LIVE: Bryan Smith ($1 5 ): Feb 5 th (9:30am) ________Aquila Theatre’s The Odyssey ($15): Feb 12 th (9:00am) ________Aquila Theatre’s 1984 ($15 student ): Feb 13 th (9:00am) ________Call of the Wild ($12): Feb 17 th (9:30am__/11:30am__) ________What Would You Do with an Idea ($12): Mar 23 rd (9:30am__/11:30am__) ________Tao: Drum Heart ($15): Mar 26 th ( 10 : 0 0am ) Number of Tickets: Show :____________________ T ime: ____________________ Students ($12/15):___________ Teachers ($12/15):___________ Parents ($15/ 20 ):____________ Total Tickets :________________ Show :____________________ T ime :____________________ Stu d ents ($12 / 15):___________ Teachers ($12 / 15):___________ Parents ($15 /20 ):____________ Total Tickets :________________ *ALL information must be complete on this form to be considered for pre - reservation. Please submit this form to schoolshows@manshiptheatre.org or fax it to 225 - 389 - 7177 .* TODAY’S DATE_____________ CURRENT TIME____________ Signature of person making request_________________________