Work Number

Cell Phone Number*

We will use this # the day of the performance, if needed.

Title

(i.e. teacher, principal, counselor)

Email Address*

School Name/Organization*

School District (if applicable)

Street Address*

Address Line 2

City*

State/Providence/Region*

Zip or Postal Code*

Country*

County*

School Phone Number*

Has your school attended a SchoolTime performance in the past?*

FIRST SHOW SELECTION

First Performance/Day/Time*

Grade(s)*

# of Students*

# of Adults*

(1 free for every 15 students)

# of Buses*

Most school buses can fit 56 passengers when sitting 2 to a seat

# of Classrooms Attending*

# of Patrons that need Sign Language Interpretation*

Please list any accessibility needs for your field trip.

(wheelchair accommodations, hearing, visual, mobility, sensory, etc.)

SECOND SHOW SELECTION (optional)

(Second Performance) Please select one.

I would like to attend this performance.

This is an alternative if my first choice is full.

Second Performance/Day/Time

Second performance: Grade(s)

Second performance: # of Students

Second performance: # of Adults

(1 free for every 15 students)

Second performance: # of Buses

Most school buses can fit 56 passengers when sitting 2 to a seat

Second performance: # of Classrooms Attending

Second performance: # of Patrons that need Sign Language Interpretation

Second performance: Please list any accessibility needs for your field trip.

(wheelchair accommodations, hearing, visual, mobility, sensory, etc.)

THIRD SHOW SELECTION (optional)

(Third Performance) Please select one.

I would like to attend this performance.

This is an alternative if my first choice is full.

Third Performance/Day/Time

Third performance: Grade(s)

Third performance: # of Students

Third performance: # of Adults

(1 free for every 15 students)

Third performance: # of Buses

Most school buses can fit 56 passengers when sitting 2 to a seat

Third performance: # of Classrooms

Third performance: # of Patrons that need Sign Language Interpretation

Third performance: Please list any accessibility needs for your field trip.

(wheelchair accommodations, hearing, visual, mobility, sensory, etc.)

TICKET AND TRANSPORTATION GRANTS

Are you applying for a grant?*

If you are not applying for a grant, please skip to PAYMENT INFORMATION. If you selected that you are applying for a grant, please answer the questions below.

Which grant(s) are you applying for?

Ticket Grant

Transportation Grant

What percentage of your classroom population qualifies for free/reduced lunch?

Why is your school in need of a grant?

Please provide any of the following statistics: # of students on free/reduced lunch, unemployment statistics of county, etc.

CAA encourages schools that receive Ticket & Transportation Grants to write thank you letters that can be shared with funders and members who donate to CAA

I consent to letting CAA send copies of our Thank You letters to funders and members.

Once your SchoolTime order is approved, full payment or a purchase order covering the full payment is required within 10 business days to finalize your registration. If payment or the PO is not received within 10 business days, the reserved seats will be released.

Please select your expected method of payment*

Please select...

Check payable to Cincinnati Arts Association

Credit Card

Purchase order made payable to Cincinnati Arts Association

Please do not send payment until your order has been confirmed.

If you have a purchase order secured already, record the PO# below.

Email address(es) to send invoice to*

Any additional information regarding your SchoolTime request(s).

Completed requests are not a guarantee of SchoolTime reservation. You will be notfied about the status of your request within ten business days. If you have not received confirmation, please contact education@cincinnatiarts.org.

Seats will be placed on a temporaty hold for all approved orders. To finalize your reservation, please either send in full payment OR a school purchase order for the full payment within ten business days of confirmation.

Ticket numbers may be adjusted on your order up to three weeks prior to the scheduled performance, subject to availability. No reservation decreases will be accepted after this time. All orders must be paid in full at least TWO WEEKS prior to each scheduled performance.

Agree to the SchoolTime Policies*

I have read and agree to the policies.

COORDINATOR CONTACT INFORMATION

SCHOOL INFORMATION

FIRST SHOW SELECTION

SECOND SHOW SELECTION (optional)

THIRD SHOW SELECTION (optional)

TICKET AND TRANSPORTATION GRANTS

PAYMENT INFORMATION

SCHOOLTIME POLICIES