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This is the scheduling form to request up to four performances and workshops with Kansas City Young Audiences. Please fill this out and submit it on line, or print and mail it to us. We will respond within 5 business days.
* indicates required information
If you want to book only one programs,
please click here.
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* School Name:
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Reminder: If you want to book only one program,
please click here.
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* District:
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* Contact Name:
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Title:
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* Contact Address:
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* City:
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* State:
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* ZIP:
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* Contact Telephone Number:
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Emergency Telephone Number:
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Fax Number:
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* Contact E-mail:
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How did you hear about us?
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KCYA Catalog Personal Referral
Other:
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First Program Request
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Name of Artist or Ensemble:
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Name of Program:
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Date and Time Preferences of Performance or Workshop
(mm/dd/year):
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Date Preferences
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Time Preferences
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Comments about Date and Time Preferences of Performance or Workshop:
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Single or Double Performance:
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Single Double
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Number of students (250 max. per performance 30 max. per workshop) that will be attending:
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Grade level or class:
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Where will performance/workshop take place? (e.g. auditorium, gymnasium, classroom, other):
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How many teachers' guides do you need?
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Second Program Request
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Name of Artist or Ensemble:
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Name of Program:
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Date and Time Preferences of Performance or Workshop
(mm/dd/year):
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Date Preferences
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Time Preferences
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Comments about Date and Time Preferences of Performance or Workshop:
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Single or Double Performance:
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Single Double
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Number of students (250 max. per performance 30 max. per workshop) that will be attending:
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Grade level or class:
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Where will performance/workshop take place? (e.g. auditorium, gymnasium, classroom, other):
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How many teachers' guides do you need?
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Third Program Request
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Name of Artist or Ensemble:
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Name of Program:
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Date and Time Preferences of Performance or Workshop
(mm/dd/year):
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Date Preferences
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Time Preferences
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Comments about Date and Time Preferences of Performance or Workshop:
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Single or Double Performance:
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Single Double
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Number of students (250 max. per performance 30 max. per workshop) that will be attending:
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Grade level or class:
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Where will performance/workshop take place? (e.g. auditorium, gymnasium, classroom, other):
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How many teachers' guides do you need?
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Fourth Program Request
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Name of Artist or Ensemble:
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Name of Program:
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Date and Time Preferences of Performance or Workshop
(mm/dd/year):
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Date Preferences
|
Time Preferences
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Comments about Date and Time Preferences of Performance or Workshop:
|
|
|
Single or Double Performance:
|
Single Double
|
|
Number of students (250 max. per performance 30 max. per workshop) that will be attending:
|
Grade level or class:
|
|
Where will performance/workshop take place? (e.g. auditorium, gymnasium, classroom, other):
|
|
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How many teachers' guides do you need?
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