2021 Summer Camp Reservation Form – Main Street Theater

Contact Information

Teacher's Name*

Camp Name*

County*

Camp Address*

Street Address City State ZIP Code

Camp Phone*

Camp Fax

Email Address*

Contact Mobile Phone

Preferred method of contact?

Email
Phone

Junie B.'s Essential Survival Guide to School (6/30 - 7/30)

Please choose your 1st and 2nd date/time options

Date (1st choice) IF YOU NEED TUES - THURS*

Time (1st choice) FOR TUES - THURS*

Date (1st choice) IF YOU NEED A FRIDAY PERFORMANCE*

Time (1st choice) FOR FRIDAYS*

Date (2nd choice) IF YOU NEED TUES - THURS

Date (2nd choice) IF YOU NEED A FRIDAY PERFORMANCE*

Time (2nd choice) FOR FRIDAYS

# Student Tickets

# Adult Tickets

Other Information

Confirmation*

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?*

Yes
No

Do you have students who require wheelchair seating?*

Yes
No

If yes, how many?*

Do you have any hearing-impaired students?*

Yes
No

If yes, how many?*

Do you have any students that are students who have low or no vision?*

Yes
No

If 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 Requirements

Our 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*

Agreement

Confirmation 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.

Phone

This field is for validation purposes and should be left unchanged.