Student Matinee Registration Form

Woman in Black

Walker Farm – 705 Main St, Weston, VT | Tuesdays & Wednesdays at 10:00 AM | October 2 – October 20, 2023

Registration Form Due September 23, 2024 | $100 deposit to hold seats | Total ticket fees due at least 7 days prior to your scheduled performance

Name of School or Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Teacher leading the group

First Name

Last Name

Grade(s)/Subject(s) area being taught

Work Email

Summer Email

(If not checking work email)

Phone

(###)

###

####

Name, Subject, Emails of additional educators attending

Performance Requested

Please be sure to arrive 20-30 minutes prior to your scheduled performance

Total Number of tickets needed for your group

Please note approximate or actual

Please note any ADA needs

Arriving by

Bus

Cars

School Purchase Order #

Total amount due (estimated if approximated total attendees):

Cost per person (including accompanying adults) is $10.00. IF not Tax-Exempt, please add 6% to total.

Who should any open invoices be directed to?

Name, Phone, Email, and Address, if different than above

Please mail the $100 deposit check, or total amount due, or school purchase order number to:

Robin Lynch
Patron Services Manager
Weston Theater Company
703 Main Street
Weston, VT 05161

For more information, contact Robin by email or 802-824-8167 x112.