Lyric's Musical Interactive Request Form
Email *
What is your preferred semester?
*
Name of School:
*
Street Address
*
City *
Zip Code *
Please put a link to your school address from Google Maps below.  *
County
*
Region *
Captionless Image
School District Name/Number
*
Primary Contact Name
*
Primary Contact Email *
Primary Contact Phone Number *
Primary Contract's Position At School *
Secondary Contact Name
*
Secondary Contact Email *
Secondary Contact Phone Number *
Secondary Contact's Position at School *
Are You a Title 1 School?
*
Percentage of Students on Free/Reduced Lunch Program:
*
Expected Student Attendance
*
Lowest Grade Level Attending
*
Highest Grade Level Attending *
When does your school lunch period START? 
*
Time
:
When does your school lunch period END?  *
Time
:
List the earliest time of day your school can accommodate a 45-minute performance (ex. 8:00 AM):
*
Time
:
List the latest time of day your school can accommodate a 45-minute performance (ex. 1:30 PM):
*
Time
:
List any dates your school CANNOT host an interactive performance (i.e. breaks, testing, etc.)
*
Preferred number of performances (must be 300+ for 2nd performance to be added):
*
Which show would you like performed at your school?
*
Performance Venue (CHOOSE ONE)
*
Has Interactive performed in your school previously? If so, what was the most recent school year/show?
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lyric Theatre of Oklahoma. Report Abuse