2018BOOKING FORM

Mid North & Yorke
& Far North & West

PLEASE ADD YOUR PREFERRED DATES, VENUE & TIMES BELOW & SEND FORM TO THE CONTACT LISTED BELOW
Middleback Arts Centre, Whyalla
Send booking form to or call 8644 7300
Northern Festival Centre, Port Pirie
Send booking form to or call 8633 8500
Other Venues Ceduna, Roxby Downs, Port Lincoln, Port Augusta, Leigh Creek
Send Booking Form to
INTERESTED IN WORKSHOPS?: Please complete your details below and send your inquiry to
LIVE PERFORMANCES / Date / Time / VENUE / Cost / No. of
students / No. of
Teachers / Year Level / Total Cost
Backbone
Gravity & Other Myths / $10
Black Screen / FREE / FREE
Terrestrial
State Theatre Company SA / $10
Like It Or Loop It
Adam Page / Ceduna,
Port Lincoln, Roxby Downs / $10
Cranky Bear
Patch Theatre Company / $11 - $9* / To book contact 8333 0444 or
Big Bad Wolf
Windmill Theatre Co. / $10-$12*
ARTS ON SCREEN
(insert film titles below)
Rumpelstiltskin / $10*
TOTALS

CONTACT DETAILS:

School: Contact Teacher:

Postal Address:

Town: Postcode:

Teacher email:

Phone:(w)Mob: Fax:

Please record any special needs and numbers of students with disabilitiesie wheelchairs, vision/hearing impaired:

Please provide the following information: No. of ATSI students No. of NESB students:

Do you require an invoice prior to payment? YES / NO

COUNTRY ARTS SA TERMS AND CONDITIONS

Please visit our website for full terms and conditions on school bookings regarding payment, refunds, complimentary ratios
Comp ticket ratios for teachers are determined be each company.

Country Arts SA offers 1comp teacher ticket for every 10 students

I IMAGE RELEASE DISCLAIMER:

I give permission for Country Arts SA to take photographs and use images of students attending workshops/performances for future marketing and promotional purposes. If students can not be photographed I will advise the venue manager in advance of a performance/workshop.

I accept the terms and conditions, Teachers Signature: Date: