HomeSchool Reservation Form 2012 | Olympia Junior Programs

To request participation in the 2012 season, fill out and submit this form, and mail a check as soon as possible payable
to Olympia Junior Programs to the following address:

Olympia Junior Programs
Attn. Cathy Heryford
PO Box 1371
Olympia, WA 98507-1371

Your Name: *

Your Email Address *

Any Homeshool Group Affiliation

Mailing Address *

Ages of children attending

Do you have anyone with a disability? (Vision, hearing, wheelchair, crutches)?

All wheelchairs will be seated on the Orchestra level.

Cost of play is $4.00 per person per play.
Preferences will be honored on a FIRST COME, FIRST SERVED basis according to seating availability.
Your seat will not be guaranteed until payment is received!

"Lily's Crossing" - Grades 4-6 - February 22-23 & 27-29 (click to request seats)

1st Choice for "Lily's Crossing"

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Number attending:

2nd Choice for "Lily's Crossing"

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Number attending:

3rd Choice for "Lily's Crossing"

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Show Time:

Number attending:

"Mufaro's Beautiful Daughters" - Grades 1-6 - March 5-9 & 12-16 (click to request seats)

1st Choice for "Mufaro's Beautiful Daughters"

Play Date:

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Number attending:

2nd Choice for "Mufaro's Beautiful Daughters"

Play Date:

Show Time:

Number attending:

3rd Choice for "Mufaro's Beautiful Daughters"

Play Date:

Show Time:

Number attending:

"Jim West's Dinosaurs" - Grades 1-3 - April 25-27 & 30, May 1-2 (click to request seats)

1st Choice for "Jim West's Dinosaurs"

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Number attending:

2nd Choice for "Jim West's Dinosaurs"

Play Date:

Show Time:

Number attending:

3rd Choice for "Jim West's Dinosaurs"

Play Date:

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Number attending:

Questions

Cathy Heryford, Homeschool Coordinator
Home: 360-357-3721 Cell: 360-789-6819  myherd@comcast.net

Kris Bartruff, President
Home: 360-438-5992 Cell: 360-402-7175  krisbartruff@comcast.net