You are on page 1of 1

Teacher Ticket Program Registration Form

For Washington, D.C., Teachers

$20 Tickets for any 2009 Theatre Season Production*
(*Limit of 2 tickets per production. Offer not valid for Friday and Saturday evenings or
Saturday and Sunday matinees. Must present school ID when picking up tickets).

To Register: Email this form to or Fax to (202) 347-6269

Questions can be directed to the Education office at (202) 638-2941 ext.567

Note: Confirmations will be faxed or emailed, according to your indicated preference.

Teacher Name ________________________________________________

School Name ________________________________________________

School District (if applicable) __________________________________________

My School is: ___ Public District ___ Public Charter ___ Religious ___ Independent ___ Other

Home Address ________________________________________________________________________

Street City

State________________ Zip ____________________

School Address ________________________________________________________________________

Street City

State________________ Zip ____________________

Grade(s) Taught __________________________________________

Subject(s) Taught __________________________________________

Email __________________________________________

Fax __________________________________________

Personal Phone __________________________________________

School Phone __________________________________________

______ Please Send Me Ford’s Theatre Educator News and Special Offer Emails.