Scrooge Field Trip Request

November 16, 17, 2011

FIELD TRIP TICKET REQUEST FORM

Name of School:

School Mailing Address:

School City:

State:

California

School Zip:

School Telephone:

Home Telephone:

Best Time to Call:

Teacher's First Name:

Teacher's Last Name:

E-Mail Address:

Alternate (non-school) E-Mail Address:
(optional -- sometimes our emails to schools do not get through)

Grade Level:

Number of Tickets Needed:
(be sure to count all students, teachers, drivers and chaperones)

Desired Performance:

Wednesday, November 16, 2011 at 9:45 AM
Thursday, November 17, 2011 at 9:45 AM

Number of wheelchairs to accommodate

(indicate any other special seating needs under "Comments" below)

Comments:

Note: Click the Submit button ONLY ONCE, then wait for your information to be processed.