Young People’s Concert Reservation

• * Group or School Name
• * Contact Person

• County
• * School Address

• * City
• * State -- Select a State -- Kentucky Ohio West Virginia Other
• * Zip Code

• * Email Address
• * Work/School Phone
• Alternate Phone

• When is the best time to call? -- Select the best time to call -- Morning Noon Afternoon Evening
• What is the preferred method of contact? -- Select the preferred method -- Email Phone Fax

Grade Level(s) (Check all that apply.)

• Pre K
• K
• Grade 1
• Grade 2
• Grade 3
• Grade 4
• Grade 5
• Grade 6
• Grade 7
• Grade 8
• Grade 9
• Grade 10
• Grade 11
• Grade 12
• N/A

• * Number of Students
• * Number of Chaperones
• Number of Additional Adults

Please plan for 1 chaperone for every 10 students. Adults in excess of 1:10 are charged $4.00 each.

• * Name of Performance -- WVSO Young People's Concerts Boyz in the Wood Romeo and Juliet Stories and Legends
• * Date of Performance -- November 13, 2012 November 14, 2012 March 5, 2013 April 16, 2013 April 17, 2013
• * Time of Performance -- 9:45 a.m. 11:35 a.m.

Arrival Time (earliest)

• -- HH -- 01 02 03 04 05 06 07 08 09 10 11 12
• -- MM -- 00 05 10 15 20 25 30 35 40 45 50 55
• am pm

Departure Time (latest)

• -- HH -- 01 02 03 04 05 06 07 08 09 10 11 12
• -- MM -- 00 05 10 15 20 25 30 35 40 45 50 55
• am pm

We allow 30 minutes for check-in.

Clay Center Programs you may wish to include (Check all that apply.)

• Science Galleries (1 hour - recommended minimum)
• Planetarium (1 hour)
• Film (1 hour)
• Workshop (1 hour)
• Docent Led Art Tour (30 minutes)
• Art Gallery (30 minutes)
• Demo (30 minutes)

• Lunch (Please, allow 30 minutes.) -- Select lunch plan -- Off-site Bringing own bag lunches Pre-order box lunches with Embassy Suites Purchasing in Intermezzo Cafe (small groups only) For menu information and/or to pre-order lunch, call 304-561-3580 or email cafe@theclaycenter.org.
• Method of Transportation -- Select method of transportation -- School Bus Cars Van Tour Bus

• Method of Payment -- Select method of payment -- Cash Check Credit Card Invoice (purchase order required)
• Is the group tax-exempt? No Yes

Special Needs (Please indicate how many and provisions needed.)

• Hearing Impaired
• Sight Impaired
• Wheelchair Accessible Seating
• Other
• Additional Information

• How did you hear about the concert?