test form - Indiana Repertory Theatre

Phone*

School*

What grades will we be hosting Workshops for?*

Approx. # of Students*

Approx. # of Teachers*

Approx. # of Parents/Chaperones*

Shakespeare play interested in?

What play would you like to review for analysis?

Upcoming play to critique?

Preferred Date 1*

Preferred Date 2*

Preferred Date 3*

Additional Info

Number of students with disabilities attending (Students who have an IEP or a 504 plan.)*

Why do we need this? The IRT receives multiple grants and partnerships to keep student prices low and provide additional underwriting support. In order to continue to receive this funding we must report the number of students with IEPs and/or 504s we serve every year.

Does your group require any accommodations such as wheelchair seating or ASL interpretation? If yes, please describe.

Is there other information that IRT should know about your visit?

Percentage of free and reduced lunches given at your school*

Why do we need this? Workshops on Demand have the potential to be discounted. Additional underwriting is solely based on your school’s free and reduced lunch rate according to the Indiana Department of Education. In order to receive a lower priced workshop than the one listed on the page, this statistical information must be provided each year.

As soon as you choose the submit button, you should see a confirmation message that says "Thank you for contacting us! We will get in touch with you shortly." You should also receive an email thanking you for your reservation request within 5 minutes of submission. If you do not see both of these, then your submission has not gone through. Please try again or email the education department directly at education@irtlive.com.

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IRT Workshops on Demand

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