Field Trip Registration HOMESCHOOL OR PUBLIC TICKETS, please click here to purchase tickets. If you are a school representative, please continue with the form below. Please note that a 50% deposit is due to ArtsBridge Foundation 30 days after registration with the balance due four weeks before show date. We will send you an invoice at time of registration. Thank you for your interest in attending a field trip at the Cobb Energy Performing Arts Centre! Name* First Last Job TitleSchool Name*Email Address* Phone Number*Grade Levels Attending the PerformanceAre you a Title 1 school?Are you Tax Exempt?School or Home School Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Which Field Trips are you interested in attending?* ArtrageousOctober 4, 2018 @ 11:00 a.m. | $10 per ticket Dance Theatre of HarlemOctober 12, 2018 @ 11:00 a.m. | $10 per ticket The Phantom TollboothOctober 17, 2018 @ 10:15 a.m. | $10 per ticket The Phantom TollboothOctober 17, 2018 @ 12:00 p.m. | $10 per ticket West Side Story presented by Atlanta OperaNovember 2, 2018 @ 10:30 am | FREE Admission Acrobats of Hebei ChinaJanuary 24, 2019 @ 11:00 a.m. | $10 per ticket Beauty and the Beast presented by The Atlanta Ballet 2February 20, 2019 @ 11:00 am | $10 per ticket Doktor Kaboom!March 11, 2019 @ 11:00 a.m. | $10 per ticket Synergy presented by KSU College of the ArtsMarch 13, 2019 @ 11:00am | FREE Admission The Very Hungry CaterpillarMarch 28, 2019 @ 10:15 a.m. | $10 per ticket The Very Hungry CaterpillarMarch 28, 2019 @ 12:00 p.m. | $10 per ticket Erth's Prehistoric AquariumApril 3, 2019 @ 10:15 a.m. | $10 per ticket Erth's Prehistoric AquariumApril 3, 2019 @ 12:00 p.m. | $10 per ticket How many student tickets will you need for each performance?*How many teacher/chaperone tickets will you need for each performance?* This iframe contains the logic required to handle Ajax powered Gravity Forms.
