Van Wezel Ticket Request Form- Schooltime 2020-2021 Question Title * 1. Teacher's information: Name Email Address Phone Number Question Title * 2. School Information Name of School: Grade Level: How many students do you anticipate on watching the performance? Question Title * 3. My school is: Public Private Homeschool Other Question Title * 4. Are you a Title 1 School? Yes No Question Title * 5. Select the Virtual Schooltime Performance(s) you would like to attend (all performances are available On-Demand during dates listed). Chicken Dance - Streaming September 21st, 2020 through June 30th, 2021 Anne of Green Gables- Streaming October 15th, 2020 through June 30th, 2021 Bill Blagg Science Lab- Streaming through August 24, 2021 Question Title * 6. I am interested in learning about free live virtual visits with a VW teaching artist? Yes No Done