Section 1 - Contact Information
Please provide us with contact information for your Youtheatre field trip.
School / Organization * Name * Title / Position Email *
School / Organization Phone * Cell Phone / Day of Contact * School Address
* School District # (i.e. District 65, CPS, etc.) Day of Contact Name *
Section 2 - Production Information
Below, please provide us with information regarding the Youtheatre productions you would like to attend.
Youtheatre Production * Summer Camp - Bill Blagg's The Science of Magic - Tue, Jul 17 at 11am Summer Camp - Bill Blagg's The Science of Magic - Thu, Jul 19 at 1pm Mathemagic! - Wed, Oct 24 at 10am Mathemagic! - Wed, Oct 24 at 12pm Pete the Cat - Fri, Nov 2 at 10am Pete the Cat - Fri, Nov 2 at 12pm Story of Ram - Fri, Nov 16 at 10am Rosie Revere, Engineer - Tue, Nov 27 at 10am Rosie Revere, Engineer - Tue, Nov 27 at 12pm Mike Wiley's Tired Souls - Thu, Feb 7 at 10am Mike Wiley's Tired Souls - Thu, Feb 7 at 12pm Muntu Dance Theatre of Chicago - Thu, Feb 21 at 10am Golden Dragon Acrobats - Tue, Feb 26 at 10am Golden Dragon Acrobats - Tue, Feb 26 at 12pm Golden Dragon Acrobats - Wed, Feb 27 at 10am Golden Dragon Acrobats - Wed, Feb 27 at 12pm Me...Jane: Adventures of Jane Goodall - Thu, Mar 14 at 10am Me...Jane: Adventures of Jane Goodall - Thu, Mar 14 at 12pm The Magic School Bus - Thu, Apr 4 at 10am The Magic School Bus - Thu, Apr 4 at 12pm Junie B. Jones - Tue, Apr 30 at 10am Junie B. Jones - Tue, Apr 30 at 12pm Bill Blagg's The Science of Magic - Tue, May 14 at 10am Bill Blagg's The Science of Magic - Tue, May 14 at 12pm Number of Student Tickets *
Please list the number of students that will be attending. Tickets are $9/ticket for all shows except Golden Dragon Acrobats, which are $12/ticket.
Number of Teacher / Chaperon Tickets *
You will receive 1 free adult ticket for every 15 student tickets. Any additional tickets will be charged at the regular ticket price.
Grade Range *
Please provide us with the grades or age range of the attending group.
Number of Buses *
Please list the number of buses you will be arriving in. Providing this number is important to the arrival process. If you will be arriving in cars, please write "Cars" in the blank field.
Are you interested in applying for granted ticket? (Available for Title I schools)
If someone has made a donation to Youtheatre in your school's name for this trip, please make sure to mention it in the Special Needs section below.
Yes No Special Needs
Please list the number of students/ teachers who will be attending in a wheel chair. Please list the number of students that will need use of a theater issued hearing devise. Please give us any additional information that can best help us prepare for your group.
Is this your first time leading a Youtheatre field trip? Yes No
Thank you for filling out this Youtheatre group ticket request form. Group requests will be processed during business hours Monday - Friday. Please expect an email including a contract / invoice with all payment information. A deposit of 20% of the fee will be due within two weeks of receiving the contract. Final payment is due 30 days prior to the production. If payment is not received, your reservation may be cancelled. If you have any questions, please contact Youtheatre Program Manager at Youtheatre@NorthShoreCenter.org or (847)679-9501 x 3100.