Kindergarten - Grade 3 Registration

Canadian Road Trip

School:
School Board (or Association):
School Address:
City:
Province
Postal Code:
Contact person:
Position / Title:
Email address:
Daytime phone number:
Fax number:
First Choice concert date and time (concerts are 1 hour, without intermission): Tues, April 24, 2012 at 10:30 am
Tues, April 24, 2012 at 1:15 pm
Wed, April 25, 2012 at 10:30 am
Wed, April 25, 2012 at 1:15 pm
Tues, May 1, 2012 at 10:30 am
Tues, May 1, 2012 at 1:15 pm
Second Choice concert date and time (concerts are 1 hour, without intermission): Tues, April 24, 2012 at 10:30 am
Tues, April 24, 2012 at 1:15 pm
Wed, April 25, 2012 at 10:30 am
Wed, April 25, 2012 at 1:15 pm
Tues, May 1, 2012 at 10:30 am
Tues, May 1, 2012 at 1:15 pm
Grades attending: (Check all that apply) Pre-school
Kindergarten
Gr 1
Gr 2
Gr 3
Other
No. of students ($7.50 each):
No. of wheelchair seats (included in above number):
No. of supervisors (One supervisor - at no charge - must attend for every 10 students registered; additional supervisor tickets at $7.50 each):
No. of buses:
Preferred Seats (We do our best to accommodate all seating requests, but we cannot guarantee you will receive your preferred seating choice. Priority is given to special needs. We will provide you with your specific seats on the day of the concert.) Orchestra (main floor)
Terrace (main floor)
Dress Circle (first level)
Upper Circle (second level)
Gallery (third level)
Choir Loft (behind the stage)
Special Needs Requests:
Additional comments or requests: