KYT Reservation Form 16-17 - Kirtland Center for the Performing Arts

RESERVATION FORM
To reserve seats for KYT, submit this form via fax - 989-275-6757, or e-mail - kcpa@kirtland.edu, or
or submit on-line at kirtlandcenter.com/youth theatre
Reset Form
Submit by Email
DATE SUBMITTED:
SCHOOL & GRADES:
YOUR NAME:
MAILING ADDRESS:
PHONE
E MAIL
FAX
TIME:
2016-17 SHOWS:
Teachers or grades
# STUDENTS
# ADULTS
TOTAL
ACTING UP THEATRE
Wednesday, October 5, 2016
LIGHTFOOT TRIBUTE
Friday, November 4, 2016
MASTERCLASS
Friday, December 9, 2016
DINOSAUR DIARIES
Friday, January 27, 2017
11:00 AM
11:00 AM
HOT PEAS & BUTTER
Wednesday March 29, 2017
SPECIAL NEEDS:
- Kirtland Youth Theatre charges $3 for each student and $5 for each adult chaperone attending a performance.
- Schools receive one complimentary ticket for each 25 tickets paid. KYT will always use the comp allowance for adult-priced tickets first.
- When you complete this reservation form on your computer, the form will calculate your balance due below, or you can fill it out
manually and KYT can verify the billing information return the form to you as a confirmation and an invoice for payment.
- You may pay for all show reservations together, or one show at a time. If you are paying for each show separately, please include a copy of
the billing information below with each check you submit, and indicate which show you are paying for.
- KYT can change your reservation anytime before payment is submitted. But please call us directly to make sure seats still are available if
you need to increase your reservation.
Include a copy of the bottom portion of this form with EACH payment to:
Kirtland Youth Theatre, 10775 N. ST. HELEN RD., ROSCOMMON, mi 48653
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------Acting Up Wed 10/05/16
Students Paid:
Lightfoot Tribute Fri 11/04/16
Dinosaur Diaries Fri 01/27/17
Hot Peas Butter Wed 03/29/17
Students Paid:
Students Paid:
Students Paid:
Adults Paid:
Adults Paid:
Adults Paid:
Adults Paid:
Complimentary:
Complimentary:
Complimentary:
Complimentary:
Complimentary:
Total Reserved:
Total Reserved:
Total Reserved:
Total Reserved:
Total Reserved:
Amount Due :
Amount Due :
Amount Due :
Amount Due :
Adults Paid:
Due:
Wed. 9/28/16
Check #
Students Paid:
Masterclass Fri 12/09/16
Due:
Wed. 10/28/16
Credit Card #
Due:
Wed.12/2/16
Due:
EXP.
Amount Due :
Wed. 1/20/17
Due:
CVV code
School & grade
date recv'd
office use only
Wed. 3/22/17