Student Matinee Ticket Form Student Matinee Ticket Application Requested BySchool Name*If this is for a homeschool group, simply type "homeschool" in this field.Teacher First Name*Teacher Last Name*Teacher Email Address* Teacher Direct Phone*Teacher Cell Phone*Billing InformationBilling Contact First Name*Billing Contact Last Name*Billing Contact Phone*School Address*City*State*SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*School InformationState*SelectKansasMissouriCounty*SelectKS - Johnson CountyKS - Wyandotte CountyMO - Clay CountyMO - Jackson CountyMO - Platte CountyOtherCounty - OtherDistrict*School*Performance InformationWe would like to request tickets for the following performance*Select2018 - 10/3 - Black Violin - 10:30AM, Wednesday, October 3, 20182019- 1/9 - National Geographic Live, Ronan Donavan, Social By Nature - 10:30AM Wednesday, January 9, 20182019- 2/19 - National Geographic Live, Mark Synnott, Life on the Vertical - 10:30AM Tuesday, February 19, 20192019- 3/19 - National Geographic Live, Dr. Kara Cooney, When Women Ruled the World - 10:30AM Tuesday, March 19, 2019How many students will attend the performance? ($2 per ticket)*From what grade(s)?*Please list the grades of students who will attend this performance.How many adults will attend the performance? ($2 per ticket)*We want to maximize the number of students who are able to benefit from this educational experience. Please request only the minimum number of adult tickets you need for appropriate chaperoning of your students - we suggest no more than 1 adult for every 8-10 students.Comments or QuestionsCommentsLet us know about any special requirements or seating needs your group may have, or if you have any other questions or commentsEmail Opt In YES ‐ Please add me to the Education Email List so I can receive information about upcoming education opportunities at the Kauffman Center.