Educational Programming Interest Form

Please complete the form below and we will be in touch with you soon. Thank you for your interest in SCCT Educational Programming!

TEST FORM

School/Organization Name*
County*
Address*
Street Address Address Line 2 City State ZIP Code
Contact Name*
First Last
Title*
Email*
Phone*
Extension
Will you be the DAY OF contact?
DAY OF Contact Name
First Last
DAY OF Contact Cell Phone Number
Will you be the PAYMENT contact?
PAYMENT Contact Name
First Last
PAYMENT Contact Title
PAYMENT Contact Phone
PAYMENT Contact Email
Programming Interests (select as many as apply)
- MAINSTAGE – The Lion, the Witch and the Wardrobe (Peace Center Gunter Theatre)
- MAINSTAGE – A Charlie Brown Christmas (Peace Center Gunter Theatre)
- MAINSTAGE – Curious George: The Golden Meatball (Peace Center Gunter Theatre)
- 2ND STAGE – Knuffle Bunny: A Cautionary Musical (Salvation Army Kroc Center)
- 2ND STAGE – Amazing Grace – 2nd Stage (Salvation Army Kroc Center)
- SCCT TO GO TOUR – Elephant & Piggie’s ”We Are In A Play!” (Your Location)
- TELL-ME-A-STORY THEATRE TOUR (Your Location)
- BULLYING PREVENTION TOUR – The Boy Who Cried Bully (Your Location)
- BULLYING PREVENTION WORKSHOPS – 6th Graders (Your Location)
- PRESCHOOL FIELD TRIPS – WeePlay: Twinkle, Twinkle, Litter Star (SCCT)
- PRESCHOOL FIELD TRIPS – Tell-Me-A-Story Theatre (SCCT)
- RESIDENCIES (Your Location)
Please select ALL programs of interest. These programs, especially our MainStage and 2nd Stage performances, tend to fill quickly. Reservations will be honored on a first come first served basis. NO DEPOSITS WILL BE DUE until FALL 2019 for programs booked for the 2019-2020 school year. NOTE: All MAINSTAGE productions are full at this time. Please continue the booking process to be added to our waitlist. We are often able to serve schools from our wait list as other parties adjust their reservations at the top of the 2019 school year.
Select the CHARLIE BROWN time that works best for your group.
Estimated number of tickets needed for CHARLIE BROWN:
All students, teachers, chaperones and infants most have a ticket.
What grade levels will be served at CHARLIE BROWN?
Please list as many as apply.
Will your group need any special accommodations for CHARLIE BROWN?
How many buses will you bring to CHARLIE BROWN?
Select the LION, WITCH, WARDROBE time that works best for your group.
Estimated number of tickets needed for LION, WITCH, WARDROBE:
All students, teachers, chaperones and infants most have a ticket.
What grade levels will be served at LION, WITCH, WARDROBE?
Please list as many as apply.
Will your group need any special accommodations for LION, WITCH, WARDROBE?
How many buses will you bring to LION, WITCH, WARDROBE?
Select the CURIOUS GEORGE time that works best for your group.
Estimated number of tickets needed for CURIOUS GEORGE:
All students, teachers, chaperones and infants most have a ticket.
What grade levels will be served at CURIOUS GEORGE?
Please list as many as apply.
Will your group need any special accommodations for CURIOUS GEORGE?
How many buses will you bring to CURIOUS GEORGE?
Select the KNUFFLE BUNNY time that works best for your group.
Estimated number of tickets needed for KNUFFLE BUNNY:
All students, teachers, chaperones and infants most have a ticket.
What grade levels will be served at KNUFFLE BUNNY?
Please list as many as apply.
Will your group need any special accommodations for KNUFFLE BUNNY?
How many buses will you bring to KNUFFLE BUNNY?
Select the AMAZING GRACE time that works best for your group.
Estimated number of tickets needed for AMAZING GRACE:
All students, teachers, chaperones and infants most have a ticket.
What grade levels will be served at AMAZING GRACE?
Please list as many as apply.
Will your group need any special accommodations for AMAZING GRACE?
How many buses will you bring to AMAZING GRACE?
Is the physical address for SCCT TO GO: ELEPHANT & PIGGIE, different from the address previously entered?
- Yes, it's different.
- No, it's the same.
Address for SCCT TO GO: ELEPHANT & PIGGIE
Street Address Address Line 2 City State ZIP Code
SCCT TO GO: ELEPHANT & PIGGIE performance location

Ex: gym, atrium, theatre, cafeteria, etc.
What grade levels will be served at SCCT TO GO: ELEPHANT & PIGGIE?

Please list all that apply.
Preferred Dates/Month for SCCT TO GO: ELEPHANT & PIGGIE:
Show will only tour September through December, with a possible extension into January and February.
How many performances of SCCT TO GO: ELEPHANT & PIGGIE would you like us to perform?
Preferred Dates/Month for SCCT TO GO: ELEPHANT & PIGGIE:
Show will only tour September through December, with a possible extension into January and February.
Is the physical address for TELL-ME-A-STORY THEATRE TOUR, different from the address previously entered?
- Yes, it's different.
- No, it's the same.
Address for TELL-ME-A-STORY THEATRE TOUR
Street Address Address Line 2 City State ZIP Code
TELL-ME-A-STORY THEATRE TOUR performance location

Ex: gym, atrium, theatre, cafeteria, etc. Students will need a class space/performance area that encourages expressive movement.
What grade levels will be served at TELL-ME-A-STORY THEATRE TOUR?

Please list as many as apply.
How many students will attend TELL-ME-A-STORY THEATRE TOUR?
Please enter a number from 0 to 50.
Max audience size is 50.
How many performances of the TELL-ME-A-STORY would you like us to perform?
Book Titles: SELECTION 1
Book Titles: SELECTION 2
If applicable.
TELL-ME-A-STORY Month Requested
Specific Dates Requested for TELL-ME-A-STORY, if applicable.
Please list in order of preference.
Specific Times Requested for TELL-ME-A-STORY, if applicable.
(ex: early morning, afternoon, 9:00 AM., etc.) Please list in order of preference.
Is the physical address for BULLYING PREVENTION TOUR, different from the address previously entered?
- Yes, it's different.
- No, it's the same.
Address for BULLYING PREVENTION TOUR
Street Address Address Line 2 City State ZIP Code
BULLYING PREVENTION TOUR performance location

Ex: gym, atrium, theatre, cafeteria, etc.
What grade levels will be served at BULLYING PREVENTION TOUR?

We recommend 3rd grade, based on alignment with curriculum standards.
How many students will attend the BULLYING PREVENTION TOUR?
Max audience size is 250. An additional fee of $2.00 per added child will be charged if audience size is greater than 250.
What is your school mascot?

Will be referenced in the show.
Does your school NEED a Bully Box?
For first time schools we provide a Bully Box for anonymous reporting (explained in show). If we have provided you a Bully Box in the past, there will be a $10 replacement charge.
Preferred Dates/Month for the BULLYING PREVENTION TOUR:
Show will only tour October. Please provide your preferred dates in order of preference.
Is the physical address for BULLYING PREVENTION WORKSHOPS, different from the address previously entered?
- Yes, it's different.
- No, it's the same.
Address for BULLYING PREVENTION WORKSHOPS
Street Address Address Line 2 City State ZIP Code
For how many 6th grade students would you like to schedule workshops?
How many classes will you need to cover?
How many 6th grade teams does your school have?
Through which subject will you run the workshops?

(Ex: social studies, language arts, math, etc.)
How many facilitators will you need to cover your classes/teams?
SCCT can send more than one facilitator to your school on the dates requested in order to cover 6th grade classes that occur simultaneously. This allows for minimal disruption to your academic schedule. (For example, if you have three 6th grade teams and are running the workshop through social studies, we would need to send three facilitators to cover the overlapping classes.)
Preferred Dates for the 6TH GRADE BULLYING PREVENTION WORKSHOP(S):
Show will only tour October. Please provide your preferred dates in order of preference.
Select the FIELD TRIP: WEEPLAY TWINKLE, TWINKLE show date that works best for your group:
Select the FIELD TRIP: WEEPLAY TWINKLE, TWINKLE show time that works best for your group:
Estimated number of tickets needed for the FIELD TRIP: WEE PLAY TWINKLE, TWINKLE:
All students, teachers, drivers and chaperones must have a ticket. Total capacity of the performance space is 48. If your group is larger, we can accommodate your students at two back-to-back performances.
What grade level/ages will be served at FIELD TRIP: WEEPLAY TWINKLE, TWINKLE?

Please list as many as apply.
Will your group need any special accommodations for FIELD TRIP: WEEPLAY TWINKLE, TWINKLE?
How many buses will you bring to FIELD TRIP: WEEPLAY TWINKLE, TWINKLE?
Select the FIELD TRIP: TELL-ME-A-STORY date that works best for your group:
All shows are on Tuesdays at 10:15 AM. Estimated run time is 30 minutes.
Estimated number of tickets needed for the FIELD TRIP: TELL-ME-A-STORY:
All students, teachers, drivers and chaperones must have a ticket. Total capacity of the performance space is 48. If your group is larger, we can accommodate your students at two back-to-back performances.
What grade level/ages will be served at FIELD TRIP: TELL-ME-A-STORY?

Please list as many as apply.
Will your group need any special accommodations for FIELD TRIP: TELL-ME-A-STORY?
How many buses will you bring to FIELD TRIP: TELL-ME-A-STORY?
Maximum number of students for RESIDENCIES (anticipated):
Minimum number of students for RESIDENCIES (anticipated):
Ages of students to participate in RESIDENCIES:
Class Location for RESIDENCIES:

Ex: classroom, gym, atrium, theatre, cafeteria, etc. Students will need a class space/performance area that encourages expressive movement.
End-of-RESIDENCY performance location:

Ex: classroom, gym, atrium, theatre, cafeteria, etc. Students will need an appropriate space for the informal end-of-session performance (for performance-based residencies).
What concept(s) would you like the RESIDENCY to address?
What is your preferred length of the RESIDENCY?

(Ex: one-day, consecutive weeks, school year-long, etc.)
What time of year would you like for the RESIDENCY to take place?

TEST FORM

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