Registration

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C O N T A C TI N F O R M A T I O NS H E E T

CONTACT NAME: ____________________________________________________

CONTACT EMAIL: ____________________________________________________

CONTACT ALTERNATE NUMBER:___________________________________

BEST TIME TO CONTACT: ____________________________________________

CONTACT ADDRESS: (OPTIONAL) __________________________________

PRINCIPAL NAME:___________________________________________________

SCHOOL NAME: _____________________________________________________

SCHOOL ADDRESS: __________________________________________________

CITY: ___________________ STATE: ______________ ZIP: _________________

SCHOOL TELEPHONE: _______________________________________________

SCHOOL HAS AUDITORIUM: YES___ NO___

HOW MANY SEATS: _____________  DATE PREFERENCE OF PERFORMANCE: _________________ TIME: ____________________________

HOW MANY STUDENTS ATTENDING: _____________________________

HOW MANY TEACHERS: ______________ Extras audiences___________

*IF YOU CAN PLEASE FORWARD THIS TO ANY OTHER TEACHERS THAT YOU THINK MIGHT  BE INTERESTED IN THE SHOW

please send this info to: mexballet@aol.com

THANK YOU!

For more information please contact us:

Office (214) 732 —4115  Mobile ( 214) 244 8868

Visit the Web Page: www.mexballet.com/main

email: mexballet@aol.com

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Ollimpaxqui Ballet Company