The Jungle Book Lexington Opera House
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Emergency Contact Info*
Organization Name*
Estimated number of students participating
Public School (checked=yes)
Title I (checked=yes)
Home School (checked=yes)
Nonprofit Organization (checked=yes)
Accessible seating needed (checked=yes)
Additional Information:
Fee Information
Event fees will be calculated based on the number of participants.
I understand that I must contact Lexington Ballet in advance if there are changes to the group count.

Fee is $6 per attendee.
For school groups, 1 teacher may attend for free for every 10 paying students.

I understand that an invoice will be provided by email. Payment may be submitted online, by mail, or in person by cash or check.
Payment is due at the time of the event.

I've read the above and agree.
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