Request a Visit

Name of School*

Address of School*

Zone, Street, Number

Requester*

Teacher
Curriculum Coordinator
Principal or School Administrator

School Contact Name*

First Middle Family

School Contact Mobile Phone*

School Contact Email*

Enter Email Confirm Email

Grade Levels of Target Audience*

Select all that apply.

School Environment*

All Female
All Male
Mixed

Students' English Comprehension Level*

Poor
Good
Excellent

Performance Space Capacity*

Estimate the number of attendees per show.

Number of Requested Shows on Visit Date*

One Show
Two Shows

Date

The Road Show is available on the dates listed below. Please select a preferred date that would suit the school's schedule. In case of special school events on dates not listed below, please email [email protected] to inquire about availability.

There are no options available for this field.

Questionnaire

Please answer the following questions. A negative answer may preclude a performance at your school due to safety concerns. A mandatory site visit will occur several weeks prior to a performance to ensure meeting safety criteria.

The shows should be performed in your auditorium or large assembly area in order to maximize the number of students, as long as safety measures and safety exits are kept clear. Our recommended maximum capacity for one show would be between 150-200 students of adjacent grade levels.

Does your school have a staging area for the performance? Such as an auditorium or gymnasium?*

Yes
No

Does the staging area have access to emergency exits?*

Yes
No

Is the staging area located at least four meters away from the students/spectators?*

Yes
No

Are there at least two power supplies adjacent to the staging area?*

Yes
No

Can the staging area accommodate two (2x) two-meter folding tables?*

Yes
No

Is there access to a water source, such as a bathroom sink, near the staging area?*

Yes
No

Is there a loading/unloading area near the staging area?*

Yes
No

Is there adequate ventilation in the staging area?*

Yes
No

Can the staging area be segregated by teachers or administrators so that no students are allowed to enter the staging area unless under the supervision of the staff?*

Yes
No

Can the areas directly to the right and left of the staging area be kept clear of students or spectators?*

Yes
No

Can the staging area be accessed at least 90 minutes prior to the performance time?*

Yes
No

Can a teacher or administrator assist students in donning safety gear, such as lab coats, safety goggles or gloves?*

Yes
No

Acknowledgement*

The information submitted with this application form is accurate and complete.