Kids Institute Registration Form - International Storytelling Center

Teacher Last Name*

Teacher First Name*

School/Organization Name*

Grade Level*

Teacher E-mail Address*

Teacher Phone Number*

Total Number in Group (to include teachers and chaperones)*

1st choice of day and time to attend. Note: Please list all availability. We will attempt to match your choice with existing capacity.*

2nd choice of day and time to attend. Note: Please list all availability. We will attempt to match your choice with existing capacity.*

3rd choice of day and time to attend. Note: Please list all availability. We will attempt to match your choice with existing capacity.*

Do you need to use our indoor meeting space for brown bag lunches?*

If yes, please indicate if you plan to eat lunch before or after the show?

Do any of your students/staff need any special accomodations?

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