Greater Milwaukee Summit on Opioid Awareness

Save Our Seats!

To reserve seats for your school/organization, please complete the form below.

THIS IS A SCHOOL BASED EVENT. INDIVIDUAL TICKET REQUESTS WILL NOT BE CONSIDERED. Please indicate the number of students and teachers/chaperones that will be attending the Summit. It is important to provide accurate numbers as each attendee will need a ticket to enter the theater.

School/Organization Contact Person Name:*

School/Organization Name:*

School/Organization Address 1:

School/Organization Address 2:

City/Town:

State:

Zip Code:

Email Address:*

Phone Number

Area CodePhone Number

How many members of your school/organization would you like to reserve space for?

Number of Teachers/Chaperones/Adults Attending:*

Number of Students Attending:*

Total Number of Attendees Planning on Attending:*

Do any of your students or chaperones require special accommodations, i.e., wheelchair access, sign language interpreters?*

NoOther

What type of accommodations does your school require?

Hearing Impaired/ASL InterpreterWheelchair AccessVisually ImpairedOther

How many students require ASL Interpretation?

How many students/teachers require wheelchair access?

How many students/teachers are visually impaired?

What form of transportation will you be using to attend the event?*

CarBusPublic TransportationOther

Will you require parking at the event?*

YesNo

How many cars/buses will you require parking for?

Will you need to leave before the event concludes at 12:30 PM?*

YesNo