Fairy Godmother application form | Ensemble Theatre Cincinnati

School / Group name*

School system*

School / Group address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact name(s)*

School / Group phone number*

School / Group fax number*

Contact email*

Contact phone number*

Alternate contact phone number

2022 Dates*

Please select three dates that your group would be able to attend.

Monday, November 14, 10:00 am
Tuesday, November 15, 10:00 am
Wednesday, November 16, 10:00 am
Thursday, November 17, 10:00 am
Monday, November 21, 10:00 am
Tuesday, November 22, 10:00 am
Tuesday, November 29, 10:00am
RELAXED PERFORMANCE Wednesday, December 7, 10:00am
RELAXED PERFORMANCE Wednesday, December 14, 10:00am

Grade level(s) of students attending*

Total number of tickets requested for students*

Total number of tickets requested for teachers and chaperones*

Accessible seats required

Companion seats required

% of student body qualifying for federal lunch*

Will you need financial assistance for transportation?*

Yes
No

What accessibility needs do your participants have?

Ensemble Theatre Cincinnati

FAIRY GODMOTHER APPLICATION

2022 Fairy Godmother Program Application

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FAIRY GODMOTHER APPLICATION

2022 Fairy Godmother Program Application