ArtsBridge Reservation Request Form

1. Register Today!

After completing this form, please print a copy for your records, then click "submit."

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* 1. Please give us the primary contact information for your reservation:

Name: *

School/Group: *

Address: *

Address 2:

City/Town: *

State: *

ZIP/Postal Code: *

Email Address: *

Phone Number: *

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* 2. What type of school group are you?

After School Program

Homeschool

Private School

Public School

School District and/or County:

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* 3. Are you a Title 1 School?

Yes

No

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* 4. School/Group Demographics - Please enter a percentage by each category summarizing your student ethnicity population (percentage total must equal 100%):

Asian

Black

White

Latino/Hispanic

Other

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* 5. Please select the programs your school group would like to attend. Select all that apply. Visit cobbenergycentre.com/education for program descriptions.

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* 6. How many students will attend?

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* 7. How many adults will attend?

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* 8. Please print this form for your records before clicking submit. Once submitted, your reservation request will be placed on HOLD. You will receive an invoice for your reservation request. Final head counts and payments are required TWO WEEKS prior to your program reservation. Cancellations are required TWO WEEKS prior to your program reservation.

If you are a public school group and need financial assistance, please complete the ArtsBridge Subsidy Request form, located at: https://www.surveymonkey.com/s/SUBSIDYREQUEST

I understand the payment and cancellation policy and will settle my account no later than two weeks prior to performance.

I do not understand the payment and cancellation policy.

Please explain:

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* 9. Thank you for your ArtsBridge reservation request. Your reservation request will be processed within 5 - 10 business days. You will receive a reservation confirmation and invoice via email.

Please provide any additional comments or questions in the space below, including special needs such as handicap seating or hearing impaired accommodations. Thank you.