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First Name
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Last Name
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Email Address
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example@example.com
Phone Number
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Area Code
Phone Number
Organization/Company Name (if applicable)
How did you hear about us?
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Previous Client
Google Search
Direct Email
Word of Mouth
Facebook
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Referral (List name below so we can say thanks!)
I am interested in:
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In-Person Performances
In-Person Programming
The mainstages Virtual Game Show
The mainstages Virtual Birthday Party
General Information
What best describes you?
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School
Afterschool Provider
Day Camp
Sleepaway Camp
PTA/PTO
Community Center
Jewish Organization
Religious Institution
Family
What type of performance(s) are you interested in? (Select all that apply)
Game Shows
Interactive Performances
Summer Camp Tour
Custom Experiences
If you know the name of your requested performance, please enter it here.
What services are you interested in?
Staffing & Training
Program Development
Production Supplies
Marketing & Publicity
Supervision & Support
What program(s) are you interested in?
Workshop Program
Showcase Program
Production Program
What Workshop Program(s) are you interested in?
Storybook Theater (best for grades K-2)
Action Zone! (best for grades 3+)
Do you have a preferred date and time?
Yes
No
Requested Date and Time
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Month
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Day
Year
Date
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Hour
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10
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30
40
50
Minutes
AM
PM
AM/PM Option
Have you chosen your venue?
Yes
Not yet
Where is your performance being held?
Venue Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Venue Type
Gym
Auditorium
Multipurpose Room
Classroom
Outdoor Amphitheater/Field
Birthday Star's Name
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How old are they turning?
*
Which theme are you interested in?
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Puppets & Play (best for ages 3-7)
The Theme is You (best for ages 8-13)
What time zone are you in?
Requested Party Date and Time
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Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
What are the ages and approximate number of participants you are expecting?
What is their birth date?
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Month
-
Day
Year
Date
How would you like us to contact you?
*
If the requested date and time are available, I’m ready to book! Please email me the final booking directions over email. (We will contact you if we need to discuss scheduling)
I’d like to chat with mainstages prior to final booking! (We’ll send you a link to our calendar to schedule a chat)
Please let us know what grades and approximately how many sessions you would be interested in running weekly.
List requested programming days of the week and/or times if known
Are you interested in learning about becoming a Featured Partner with mainstages? Featured partners receive exclusive pricing and special offerings for year-round engagement.
Yes
No
Is there anything else you'd like us to know before we contact you?
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