18 Season Backstage Tour Dates
Tours of the Lyric Opera House for students in grades 3 to 12 For questions about Student Backstage Tours, call 312.827.5912
School name: ________________________________________________________________________________________ Contact name: _______________________________________________________________________________________ Title/subject area: ____________________________________________________________________________________ Contact email (required): ______________________________________________________________________________ School Address: ______________________________________________________________________________________ City: ____________________________________________________ State: _______
Zip code: __________________
Daytime phone: _______________________________ Contact cell phone (required): ___________________________
2017/18 Season Backstage Tour Dates October 30 November 3 November 14 November 29
December 8 December 11 January 11
January 22 February 16 February 26
March 6 March 16 March 22
Choose up to 3 possible dates in order of preference: 1. __________________________
2. __________________________
Earliest possible arrival time: __________________________ Latest possible departure time: ________________________ Grade level(s)
__________________
# of Students
__________________
# of Chaperones
__________________
Total
__________________
X $7.00
=$
_________________
TOTAL DUE
3. ___________________________
Do any students have accessibility needs? Yes No If so, please list accommodations needed:
Payment in full must accompany all orders. No exchanges or refunds—even in the event of inclement weather or school closings. Pay by Purchase Order
PO# ________________________
Check (payable to Lyric Opera of Chicago) Credit card (Visa, MasterCard, American Express, Discover)
Credit card number: ________________________________________________ Expiration date: ____________________________________________________ Name on credit card: ________________________________________________ Signature: _________________________________________________________
Mail Form & Payment to: Lyric Opera of Chicago Lyric Unlimited 20 N. Wacker Dr., Suite 860 Chicago, IL 60606 Attn: Student Backstage Tours Email: [email protected] Fax: 312-419-1977
School name: ________________________________________________________________________________________ Contact name: _______________________________________________________________________________________ Title/subject area: ____________________________________________________________________________________ Contact email (required): ______________________________________________________________________________ School Address: ______________________________________________________________________________________ City: ____________________________________________________ State: _______
Zip code: __________________
Daytime phone: _______________________________ Contact cell phone (required): ___________________________
2017/18 Season Backstage Tour Dates October 30 November 3 November 14 November 29
December 8 December 11 January 11
January 22 February 16 February 26
March 6 March 16 March 22
Choose up to 3 possible dates in order of preference: 1. __________________________
2. __________________________
Earliest possible arrival time: __________________________ Latest possible departure time: ________________________ Grade level(s)
__________________
# of Students
__________________
# of Chaperones
__________________
Total
__________________
X $7.00
=$
_________________
TOTAL DUE
3. ___________________________
Do any students have accessibility needs? Yes No If so, please list accommodations needed:
Payment in full must accompany all orders. No exchanges or refunds—even in the event of inclement weather or school closings. Pay by Purchase Order
PO# ________________________
Check (payable to Lyric Opera of Chicago) Credit card (Visa, MasterCard, American Express, Discover)
Credit card number: ________________________________________________ Expiration date: ____________________________________________________ Name on credit card: ________________________________________________ Signature: _________________________________________________________
Mail Form & Payment to: Lyric Opera of Chicago Lyric Unlimited 20 N. Wacker Dr., Suite 860 Chicago, IL 60606 Attn: Student Backstage Tours Email: [email protected] Fax: 312-419-1977
