Application Form PLEASE NOTE: Your completed application form is your CONFIRMED request, not a provisional one. We are unable to offer refunds for any unused tickets. Please complete all sections below. See HOW TO BOOK overleaf. Deadline for applications: Friday 6th January 2012 School: Name of Teacher: Job Title: Address: Postcode:
Borough:
Email:
Fax:
Tel:
Ext:
Mobile:
Please state the best time of day to reach you: Can we call you outside of school hours? Year Group(s):
Students on free school meals:
%
Reason(s) for intended trip: Tickets are limited to 30 pupils per school at ONE of the following productions with a minimum teacher/pupil ratio of 1:10 Number of Pupils______ Number of Staff______ Total______
Please number your choices as #1, #2, #3 in order of preference. The Riots
Wednesday 11th January at 2pm
Interested in INSIGHT
TOTEM
Friday 27th January at 3.30pm Friday 3rd February at 3.30pm
Interested in INSIGHT
Lovesong
Tuesday 31st January at 1.30pm Thursday 2nd February at 1.30pm
One Man Two Guvnors
Wednesday 3rd February at 7.30pm Wednesday 22nd February at 2.30pm
The Lion King
Wednesday 8th February at 2.30pm Wednesday 7th March at 2.30pm
Singin’ in the Rain
Monday 12th March at 7pm Wednesday 14th March at 3pm
Anything to add?
Interested in INSIGHT
(e.g. Access needs)
TheatreOpeners Leaflet Spring 2012.indd 1
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