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 # Day of Contact Name (If Different) Section 2 - Production Information
Below, please provide us with information regarding the Youtheatre productions you would like to attend.
Youtheatre Production *
Please note, in general, it is easier to award grants for afternoon shows.
Operation Lunchline 3D - Tuesday, Oct 25 @ 10am Operation Lunchline 3D - Tuesday, Oct 25 @ 10am We the People - Tuesday, Nov 1 @ 10am We the People - Tuesday, Nov 1 @ 12pm Handicap This! - Thursday, Nov 17 @ 10am Golden Dragon Acrobats - Tuesday, Jan 31 @ 10am Golden Dragon Acrobats - Tuesday, Jan 31 @ 12pm Golden Dragon Acrobats - Wednesday, Feb 1 @ 10am Golden Dragon Acrobats - Wednesday, Feb 1 @ 1:30pm Golden Dragon Acrobats - Thursday, Feb 2 @ 10am Golden Dragon Acrobats - Thursday, Feb 2 @ 12pm Elephant & Piggie - Friday, Feb 10 @ 10am Elephant & Piggie - Friday, Feb 10 @ 10am Jackie Robinson - Thursday, Feb 16 @ 10am Jackie Robinson - Thursday, Feb 16 @ 12pm Charlotte's Web - Friday, April 7 @ 10am Charlotte's Web - Friday, April 7 @ 12pm Science of Magic - Thursday, May 4 @ 10am Science of Magic - Thursday, May 4 @ 12pm Number of Student Tickets *
Please list the number of students that will be attending. Full price tickets are $8/ticket for all shows except the Golden Dragon Acrobats. Full price tickets for the Golden Dragon Acrobats are $10/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.
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.
If available, I would be interested in learning about the following workshop opportunities: In-school workshops exploring the themes of the production I am attending. In-school workshops that introduce students to theater techniques. Post show workshops at the theatre. All of the above. I am not interested in workshop / teaching artist opportunities. Is this your first time leading a Youtheatre field trip? Yes No Section 3 - Grant Information
Please fill out the following information to be concidered for a Youtheatre grant.
Did you school receive a Youtheatre Grant last year? Yes No I'm not sure Illinois State Report Card
Please follow the below link and download your school's Illinois State Report Card. Once you have downloaded the form, please upload it to this form. http://www.illinoisreportcard.com/ . If you have any trouble with this, you can also attach it to an email and send it to firstname.lastname@example.org.
Max. file size: 8 MB. Percentage of students from low-inclome families. * What ticket price range would be possible for your students?
We cannot guarentee that we can meet this price, but we will take it into consideration.
Please write 2 or 3 sentences that will help us better understand your school's need for a Youtheatre grant. * Thank you!
Thank you for filling out this Youtheatre Grant Application. Group requests will be processed during business hours on Monday, Wednesday, and Thursday. Once your information is received, we will get back to you within a week with the grant amount we are able to offer. If you have any questions, please contact Christian at email@example.com or (847)679-9501 ex 3100.