ITC INTEREST FORM

IMAGINARY THEATRE COMPANY INFORMATION FORM

Once you have submitted the interest form, a member of the Learning and Community Engagement team will follow up to begin the booking process. For any other questions, please email education@repstl.org.
Contact's Name*

First NameLast Name
Contact's Phone Number*
Please enter a valid phone number.
Contact's Email*
example@example.com
School Name*
School District*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Are you a Title I school?*
Type*
Is the Site of Performance the same as the address above?*

YesNo
Have you ever booked an ITC performance before?*

YESNO
SHOW SELECTION
How many performances would you like to book?( Please select one)
Please provide your top 3 date choices you are interested in booking a performance.
REMINDER: ITC TOURS FROM FEBRUARY 24TH TO MARCH 27TH. PLEASE DO NOT CHOOSE A DATE OUTSIDE OF THAT WINDOW.
First Selection*

MonthDayYear
Date
Second Selection*

MonthDayYear
Date
Third Selection*

MonthDayYear
Date
Should be Empty: