Student Matinee Ticket Form Requested By School 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 Information Billing Contact First Name * Billing Contact Last Name * Billing Contact Phone Number * School Address * City * State * Zip Code * School Information If you are applying on behalf of a homeschool group, please indicate that in the "School" field below. Otherwise, please simply fill in the name of your school again. If your application is not affiliated with an official school district, please type "N/A" in the District field. State: * Kansas Missouri County * KS - Johnson County KS - Wyandotte County MO - Clay County MO - Jackson County MO - Platte County Other District * School * Performance Information We would like to request tickets for the following performance: * 2018- 3/6 - National Geographic Live! Cristina Mittermeier - 10:30AM Tuesday, March 6, 2018 If you would like to purchase tickets to more than one of the performances, please submit a separate form for each performance you would like to attend. How 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 Questions Let us know about any special requirements your group may have, or if you have any other questions or comments: Let us know about any special requirements or seating needs your group may have, or if you have any other questions or comments: Email Opt In YES ‐ Please add me to the Education Email List so I can receive information about upcoming education opportunities at the Kauffman Center.