2016 School Season
Patch Theatre Booking Form
Emily Loves to Bounce
Venue:
Hopgood Theatre Noarlunga Centre
Barossa Arts & Convention Centre
Golden Grove Arts Centre
Dates:
Tues 23 – Fri 26 Aug 2016
Tues 30 Aug 2016
Thur 1 Sept & Fri 2 Sept 2016
Sessions:
10.30am & 1.00pm
10.00am & 12.00pm
10.30am & 1.00pm
Please tick location:
 Barossa Arts & Convention Centre
 Golden Grove Arts Centre
 Hopgood Theatre
Date of attendance:
Session time:
Number of students:
Number of adults:
 $11.00 ticket only
 $19.25 ticket & bus
Ticket options:
 $9.00 ticket only (Disad – Cat 1-4)
 $17.25 ticket & bus (Disad – Cat 1-4)
Bus pick-up time:
(Please allow enough time to arrive 15 minutes before the session begins.)
Bus pick-up location:
General information
Contact name:
School/CCC:
Address:
Telephone:
__________________________________________________
Fax:
School Email:
Personal Email:
Special needs?
Please indicate how many or leave blank:
Vision impaired _____ Hearing impaired _____
No. of wheelchairs _____
A compulsory booking fee of $9.90 (GST inc) will be added to your invoice.
Free Patch teacher resource booklets will be available to all teachers and adults at the performance.
There is a minimum booking of 25 for theatre/bus package.
If you are in the outer metro area, please speak to us about bus costs.
Patch Theatre will send you a Booking Confirmation Letter within two (2) weeks of receiving a completed Patch
Booking Form from your school. If you do not received it within this time please phone us on 8333 0444.
Please also sign the Booking & Cancellation Policy included with this form and return it with the Booking Form as
acceptance of the terms and conditions of booking a Patch Theatre performance.
PLEASE FAX BACK TO PATCH THEATRE COMPANY ON 8332 2256
THANK YOU FOR YOUR BOOKING REQUEST