The Coterie and UMKC Theatre's co-production of Brainstorm

SUBMIT A REQUEST FOR A
VIRTUAL FIELD TRIP WITH BRAINSTORM

IF YOU ARE BOOKING WITH ARTS PARTNERS, STOP AND PLEASE CALL THE BOX OFFICE

AT 816-474-6552

JANUARY 2021 BOX OFFICE HOURS
Tuesday-Friday, 12pm-4pm
Closed Saturday through Monday

THE COTERIE
2450 Grand Blvd., Ste. 144
Kansas City, MO 64108
www.thecoterie.org
Order by phone: 816.474.6552

Contact Information

*Required

Teacher First Name *

Teacher Last Name *

Job Title/Position *

Teacher Cell Phone Number * 🛈

Teacher Email Address *

How Did You Hear About the Show? *

School/Organization Information

*Required

School/Organization Name *

School/Organization's Phone Number * 🛈

School District / Private / Charter / Homeschool / Other-please explain *

School/Organization's Street Address *

City *

State *

Zip Code *

IMPORTANT GROUP INFORMATION: PLEASE READ CAREFULLY

THIS IS A REQUEST FOR A BRAINSTORM VIRTUAL FIELD TRIP ONLY

You will receive a confirmation from boxoffice@coterietheatre.org once your order is processed.
You will ALSO receive a confirmation including your link to view virtually through ShowTix4U.

* The maximum number of people who can view per virtual link is 30.

* The cost is $20 per class of up to 30 total people.

* If more than one class is viewing, complete a separate form for each class. A different viewing link will be emailed to each separate teacher/email address for their specific class.

* The first available date for viewing is January 21, 2021. The final viewing date is February 7, 2021.

* If you are a remote learning or hybrid learning classroom, call the box office at 816-474-6552

* If Arts Partners is paying for your order, DO NOT FILL OUT THIS FORM. Call the box office at 816-474-6552

* Payment is due upon submission of booking. Submit form at least five days prior to requested viewing date and time.

* There are no refunds, exchanges, or cancellations once payment is received.

The maximum number of people who can view per virtual link is 30. If more than one class is viewing, complete a separate request form for each class. Viewing links cannot be accessed by multiple classrooms.

Number of Students *

Estimated Number of Adults/Teachers (including paras) *

Grade(s) of Students Viewing: *

Acknowledgements

*Required

*

I understand that payment is due upon submission of my scheduling request.

I understand there are no refunds, exchanges, or cancellations once payment is received.

Payment = $20

*Required

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVV 3 digit code *