Outreach Dance Theatre Booking Form
School/Community Group
Ages(s) of Program Participants
# of Program Participants
Desired Program Date(s)
Contact Name
Contact Title
Address
Please indicate which program type you are interested in booking with Notes in Motion?
	IN-SCHOOL PROGRAM -- Classroom Residencies: Indicate Program   IN-SCHOOL PROGRAM -- Professional Development: Indicate Program   IN-SCHOOL PROGRAM -- After-School Program: Indicate Program   COMMUNITY PROGRAM -- Family Program COMMUNITY PROGRAM -- Interactive Performance: Dances are Built from Movement Ideas COMMUNITY PROGRAM -- Interactive Performance: Break it Down!
Is there a specific curricular area, thematic or topic focus for the program? Please describe.
Describe past arts programming in which your community has participated (strengths/weaknesses). Please indicate any past dance experiences.

Thank you for your interest in booking Notes in Motion Outreach Dance Theatre programming. You will be contacted by program staff shortly.