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CCOC Opera Outreach for Children Performance Request
Once you have filled out the form, our Education Coordinator Elexa Bancroft will contact you via email or phone.
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* Indicates required question
Email
*
Your email
Your Name
*
Your answer
Point of Contact Email
*
Your answer
Contact's relationship/position at school or venue?
*
Your answer
Point of Contact Phone Number
*
Your answer
Additional Contact Email
*
Your answer
Contact's relationship/position at school or venue?
*
Your answer
Additional Contact Phone Number
*
Your answer
Who will be providing the payment?
*
Your answer
What is their contact information? (email and phone number)
*
Your answer
How flexible is your schedule for a performance?
*
Your answer
Date you prefer
*
MM
/
DD
/
YYYY
1st Alternate Date
*
MM
/
DD
/
YYYY
2nd Alternate Date
*
MM
/
DD
/
YYYY
Time
*
Time
:
AM
PM
1st Alternate Time
*
Time
:
AM
PM
2nd Alternate Time
*
Time
:
AM
PM
School/Venue
*
Your answer
School/Venue Phone Number
*
Your answer
School/Venue Address
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Your answer
Other general Information about the school/venue (where to park, where to check in, etc.)
*
Your answer
Describe the performance space.
Your answer
What forms does the school/venue need from Capitol City?
*
Your answer
Choice of Show
*
A Seussome Twosome
Hansel and Gretel
How many performances
*
1 show (A Seussome Twosome $650, Hansel and Gretel $700)
2 shows (A Seussome Twosome $850, Hansel and Gretel $875)
3 shows (A Seussome Twosome $1,000, Hansel and Gretel $1,100)
4 shows (A Seussome Twosome $1,250, Hansel and Gretel $1,350)
City
*
Your answer
State
*
Your answer
County
*
Your answer
Will this be a public or private show?
*
Public
Private
How many kids?
*
Your answer
What grade(s)? (1st grade, 2nd grade, etc.)
*
Your answer
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