School Group Reservation 2021-2022 Reservation Form School Group Reservation 2021-2022 Reservation Form Contact InformationTeacher's Name* School Name* School District* County* Type of School*Please SelectPre-KPre-K thru 8thPre-K thru 12thElementaryIntermediateMiddle SchoolHigh SchoolHome SchoolDay CareN/AWe are a Title 1 School* Yes No Grade Level* School 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 School Phone*School FaxTeacher's Email* Enter Email Confirm Email Teacher's Mobile PhonePreferred method of contact? Email Phone Don't Let the Pigeon Drive the Bus (9/21/21 - 10/22/21)Please choose your 1st and 2nd date/time optionsDate (2nd choice)Please SelectTue 9/21/21Wed 9/22/21Thu 9/23/21Fri 9/24/21Tue 9/28/21Wed 9/29/21Thu 9/30/21Fri 10/1/21Tue 10/5/21Wed 10/6/21Thu10/7/21Fri 10/8/21Tue 10/12/21Wed 10/13/21Thu 10/14/21Fri 10/15/21Tue 10/19/21Wed 10/20/21Thu 10/21/21Fri 10/22/21Time (1st choice)Please Select9:30am11:00amDate (1st choice)Please SelectTue 9/21/21Wed 9/22/21Thu 9/23/21Fri 9/24/21Tue 9/28/21Wed 9/29/21Thu 9/30/21Fri 10/1/21Tue 10/5/21Wed 10/6/21Thu10/7/21Fri 10/8/21Tue 10/12/21Wed 10/13/21Thu 10/14/21Fri 10/15/21Tue 10/19/21Wed 10/20/21Thu 10/21/21Fri 10/22/21Time (2nd choice)Please Select9:30am11:00am# Student Tickets# Adult TicketsA Little House Christmas (11/3/21 - 12/17/21)Please choose your 1st and 2nd date/time optionsDate (1st choice)Please SelectWed 11/3/21Thu 11/4/21Fri 11/5/21Mon 11/8/21Tue 11/9/21Wed 11/10/21Thu 11/11/21Fri 11/12/21Mon 11/15/21Tue 11/16/21Wed 11/17/21Thu11/18/21Fri 11/19/21Mon 11/29/21Tue 11/30/21Wed 12/1/21Thu 12/2/21Fri 12/3/21Mon 12/6/21Tue 12/7/21Wed 12/8/21Thu 12/9/21Fri 12/10/21Mon 12/13/21Tue 12/14/21Wed 12/15/21Thu 12/16/21Fri 12/17/21Time (1st choice)Please Select9:30am11:00am12:30pmTime (1st choice)Please Select9:30am11:00amDate (2nd choice)Please SelectWed 11/3/21Thu 11/4/21Fri 11/5/21Mon 11/8/21Tue 11/9/21Wed 11/10/21Thu 11/11/21Fri 11/12/21Mon 11/15/21Tue 11/16/21Wed 11/17/21Thu11/18/21Fri 11/19/21Mon 11/29/21Tue 11/30/21Wed 12/1/21Thu 12/2/21Fri 12/3/21Mon 12/6/21Tue 12/7/21Wed 12/8/21Thu 12/9/21Fri 12/10/21Mon 12/13/21Tue 12/14/21Wed 12/15/21Thu 12/16/21Fri 12/17/21Time (2nd choice)Please Select9:30am11:00am12:30pmTime (2nd choice)Please Select9:30am11:00am# Student Tickets# Adult TicketsThe Watsons Go to Birmingham - 1963 (1/19/22 - 2/11/22)Please choose your 1st and 2nd date/time optionsDate (1st choice)Please SelectThu 1/20/22Fri 1/21/22Mon 1/24/22Tue 1/25/22Wed 1/26/22Thu 1/27/22Fri 1/28/22Mon 1/31/22Tue 2/1/22Wed 2/2/22Thu 2/3/22Fri 2/4/22Mon 2/7/22Tue 2/8/22Wed 2/9/22Thu 2/10/22Fri 2/11/22Time (1st choice)Please Select9:30am11:45amDate (2nd choice)Please SelectThu 1/20/22Fri 1/21/22Mon 1/24/22Tue 1/25/22Wed 1/26/22Thu 1/27/22Fri 1/28/22Mon 1/31/22Tue 2/1/22Wed 2/2/22Thu 2/3/22Fri 2/4/22Mon 2/7/22Tue 2/8/22Wed 2/9/22Thu 2/10/22Fri 2/11/22Time (2nd choice)Please Select9:30am11:45am# Student Tickets# Adult TicketsPete the Cat (2/22/22 - 4/1/22)Please choose your 1st and 2nd date/time optionsDate (1st choice)Please SelectTue 2/22/22Wed 2/23/22Thu 2/24/22Fri 2/25/22Mon 2/28/22Tue 3/1/22Wed 3/2/22Thu 3/3/22Fri 3/4/22Mon 3/7/22Tue 3/8/22Wed 3/9/22Thu 3/10/22Fri 3/11/22Mon 3/21/22Tue 3/22/22Wed 3/23/22Thu 3/24/22Fri 3/25/22Mon 3/28/22Tue 3/29/22Wed 3/30/22Thu 3/31/22Fri 4/1/22Time (1st choice)Please Select9:30am11:00am12:30pmDate (2nd choice)Please SelectTue 2/22/22Wed 2/23/22Thu 2/24/22Fri 2/25/22Mon 2/28/22Tue 3/1/22Wed 3/2/22Thu 3/3/22Fri 3/4/22Mon 3/7/22Tue 3/8/22Wed 3/9/22Thu 3/10/22Fri 3/11/22Mon 3/21/22Tue 3/22/22Wed 3/23/22Thu 3/24/22Fri 3/25/22Mon 3/28/22Tue 3/29/22Wed 3/30/22Thu 3/31/22Fri 4/1/22Time (2nd choice)Please Select9:30am11:00am12:30pm# Student Tickets# Adult TicketsDragons Love Tacos (3/15/22 - 3/18/22)One show time available: 10:30am, please choose 1st and 2nd date options.Date (1st choice)Please SelectTue 3/15/22Wed 3/16/22Thu 3/17/22Fri 3/18/22Date (2nd choice)Please SelectTue 3/15/22Wed 3/16/22Thu 3/17/22Fri 3/18/22# Student Tickets# Adult TicketsCharlotte's Web (4/12/22 - 5/13/22) [LIMITED SEATS REMAINING FOR 9:30am & 11:00am SHOWS]Please choose your 1st and 2nd date/time optionsDate (1st choice)Please SelectTue 4/12/22Wed 4/13/22Thu 4/14/22Fri 4/15/22Mon 4/18/22Tue 4/19/22Wed 4/20/22Thu 4/21/22Fri 4/22/22Mon 4/25/22Tue 4/26/22Wed 4/27/22Thu 4/28/22Fri 4/29/22Mon 5/2/22Tue 5/3/22Wed 5/4/22Thu 5/5/22Fri 5/6/22Mon 5/9/22Tue 5/10/22Wed 5/11/22Thu 5/12/22Fri 5/13/22Time (1st choice)Please Select9:30am11:00am12:30pmDate (2nd choice)Please SelectTue 4/12/22Wed 4/13/22Thu 4/14/22Fri 4/15/22Mon 4/18/22Tue 4/19/22Wed 4/20/22Thu 4/21/22Fri 4/22/22Mon 4/25/22Tue 4/26/22Wed 4/27/22Thu 4/28/22Fri 4/29/22Mon 5/2/22Tue 5/3/22Wed 5/4/22Thu 5/5/22Fri 5/6/22Mon 5/9/22Tue 5/10/22Wed 5/11/22Thu 5/12/22Fri 5/13/22Time (2nd choice)Please Select9:30am11:00am12:30pm# 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?* 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 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. 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. A member of our staff will contact you about your request within 48 hours. If you are not contacted in that time or have any questions regarding this order, please call 713-524-9196.PhoneThis field is for validation purposes and should be left unchanged.
