GO FOR 2&5 Regional PUPPETRY Tour 2016

EXPRESSION OF INTEREST FORM – HACHIKŌ

Touring Dates: Term 2/23 May – 18 June | Term 3/ 1 – 27 August, 5 – 17 September

If you are interested in your school being part of our 2016 tour please complete and return this form to or fax: 08 9335 7687as soon as you are able. In filling out this form, your school will be programmed into the tour according to availability and geographical feasibility. Your school will be asked to confirm a suggested time, then your booking will be finalised.

SECTION 1: ABOUT YOUR SCHOOL

Name of School:
Phone Number/s:
Physical Address:
Postal Address:
Main Contact:
Position:
Email:
2nd Contact:
Position:
Email:
School Times / Start: Finish:
Recess: from ______til______/ Lunch: from ______til______
Approximate number of students enrolled at your school:

SECTION 2: YOUR SCHOOLS AVAILABILITY

Touring Dates: Term 2/23 May – 18 June| Term 3/ 1 – 27 August, 5 – 17 September

Please list any dates that will NOT be suitable for your school
Please include other school activities planned for this time, early closes, pupil free days and anyother events that may coincide with performances.

SECTION 3: PERFORMANCE

Hachikō - A true story about loyalty, resilience and the remarkable joy an animal can bring.

Cost: $7 per student (minimum fee $275) | Running Time: 50min + 10min Q&A with performer & crew.

Space Requirements:We requirea minimum performance space of 5m x 5m, double door access to performance space, minimum ceiling clearance of 3m and access to power.Please contact us 9335 5044 or if you have any questions.

Number of Performances requested:
Note: If you have more than 200 students it may be best to have 2 separate performances.
Number of students to attend the performance:
Year group/s of students:
Where do you anticipate holding the performance?
(Undercover area, Library etc. Please include a short description of the space, entry details, if it is enclosed and size.)

SECTION 4: PUPPET MAKING WORKSHOPS

Are you interested in puppetry workshops for you students?
If yes please complete the below / YES / NO

The School of Puppetry workshops run for 1.5hours and can cater for up to 30 students per workshop. During this tour we will have the ability to run two workshops simultaneously.

Upto 2 workshops: $420 +gst | Upto 4 workshops: $650 +gst | Upto 6 workshops: $800 +gst

Number of workshops requested: / Number of Students to Participate
Year group/s of students participating?
Have your students participated in a Spare Parts Puppet Theatre workshop before? / YES / NO
Do any of the students attending have any special needs?
What type of workshop are you interested in? / Marionette Making
Junk Puppets*

*Junk Puppet Workshops require each student to bring along cleaned milk container or cardboard roll for the base of their puppet.

SECTION 5: ADDITIONAL NOTES

Please SIGN below to acknowledge that you have read, understood and responded to each section of this form, to the best of your ability and return email to OR fax 08 9335 7687.

Signed: / ______
School Contact Teacher / Date
Signed: / ______
Principal (or Deputy) / Date