2021 Summer Camp Reservation Form 2021 Summer Camp Reservation Form Contact InformationTeacher's Name*Camp Name*County*Camp Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Camp Phone*Camp FaxEmail Address* Enter Email Confirm Email Contact Mobile PhonePreferred method of contact?EmailPhoneJunie B.'s Essential Survival Guide to School (6/30 - 7/30)Please choose your 1st and 2nd date/time optionsDate (1st choice) IF YOU NEED TUES - THURS*Please SelectWed 6/30/21Thu 7/1/21Tue 7/6/21Wed 7/7/21Thu 7/8/21Tue 7/13/21Wed 7/14/21Thu 7/15/21Tue 7/20/21Wed 7/21/21Thu 7/22/21Tue 7/27/21Wed 7/28/21Thu 7/29/21Time (1st choice) FOR TUES - THURS*Please Select9:30am11:30am1:30 pmDate (1st choice) IF YOU NEED A FRIDAY PERFORMANCE*Please SelectFri 7/2/21Fri 7/9/21Fri 7/6/21Fri 7/23/21Fri 7/30/21Time (1st choice) FOR FRIDAYS*Please Select9:30am11:30amTime (1st choice) FOR FRIDAYS*Please Select9:30am11:30amDate (2nd choice) IF YOU NEED TUES - THURSPlease SelectWed 6/30/21Thu 7/1/21Tue 7/6/21Wed 7/7/21Thu 7/8/21Tue 7/13/21Wed 7/14/21Thu 7/15/21Tue 7/20/21Wed 7/21/21Thu 7/22/21Tue 7/27/21Wed 7/28/21Thu 7/29/21Date (2nd choice) IF YOU NEED A FRIDAY PERFORMANCE*Please SelectFri 7/2/21Fri 7/9/21Fri 7/6/21Fri 7/23/21Fri 7/30/21Time (2nd choice) FOR FRIDAYSPlease Select9:30am11:30am# Student Tickets# Adult TicketsOther InformationConfirmation* I have selected both 1st choice date and time for each performance of my reservation inquiry. Comments/Dates you cannot attend:Are you receiving funding for this field trip from Arts Connect?*YesNoDo you have students who require wheelchair seating?*YesNoIf yes, how many?*Do you have any hearing-impaired students?*YesNoIf yes, how many?*Do you have any students that are students who have low or no vision?*YesNoIf yes, how many?*You've answered "yes" to one or more of the questions above. Our Accommodations Facilitator will contact you to coordinate assistance. Possible lunch locations close to the MATCH are Discovery Green, Miller Outdoor Theater and Herman Park.Demographic RequirementsOur vision is a theater that is accessible and inclusive to all Houstonians, regardless of income, disability, or race. Demographic data is critical to evaluating the diversity of our audiences and essential to carrying out our mission. The data you provide helps us better understand those we serve and informs us where our demographic benchmarks might fall short. To the best of your ability, please give the actual numbers of students in your classes who are attending the field trip to Main Street Theater: If you do not feel comfortable providing this information, we respect your right to decline.African American*Asian American/ Pacific Islander*Caucasian*Latino/Hispanic*Native American*Multi-racial*People with disabilities*AgreementConfirmation required* I have read and understand the Ticket Policies that govern all student matinee group sales. I further understand that submission of this inquiry form is not a guarantee of a reservation. I understand that children under the age of 3 (including sleeping babies) are not allowed in the theater. PhoneThis field is for validation purposes and should be left unchanged.