Contact Name:
Email:
School:
Street Address:
Mailing address if different than street address:
City or Town:
Province:
Postal Code:
Phone:
Fax:
Principal's name:
We are interested in booking a Canada Is For Kids performance on or around:
Date:
Alternate Date:
Preferred Show Start Time(s):
Number of shows:
For grades:
Approximate number of students:
How did you hear about this show?
Select all that apply
He performed at our school in the past
He performed at a school I was at previously
Referred by a colleague
Surfing the web
Fax sent to the school
Brochure sent to the school
Reputation
School or District arts resource file or directory
Other – please specify
Please reply as soon as possible with options for available dates and start times.
Additional comments, special requests, etc.: