Wade Bennett King Education SeriesScholarship Application

Wade Bennett King Education Series

Scholarship Application

Please complete this form to be considered for a full or partial scholarship.

You will be notified by email once a decision is made.

Lead Teacher Name*

Email Address*

Additional Teacher Names

School Name*

School Address*

Phone Number*

Phone

Performance*

In the Year of the Boar and Jackie Robinson — 10:00am, 24 Jan 23

In the Year of the Boar and Jackie Robinson — 12:15pm, 24 Jan 23

Hello Gold Mountain — 12:15pm, 24 Feb 23

Danny Carmo's Mathematical Mysteries — 10:00am, 13 Apr 23

Danny Carmo's Mathematical Mysteries — 12:15pm, 13 Apr 23

Grade Levels Applying*

Current percentage of students in your school that qualify for the Federal Free and Reduced Price Meal Program*

Note: Please contact renee.gaumond@mountbakertheatre.com to discuss alternative verification methods if this percentage is drastically different than the public information currently available from OSPI.

Are you applying for Ticketing or Transportation assistance?*

Funding requests are reviewed on a case by case basis and will be awarded based on need, total cost, and availability of funds.

Ticketing

Transportation

Total Estimated Transportation Cost*

Source of Transportation Estimate*

Total Number of Seats Requested*

Total Student Seats*

Total Teacher/Chaperone Seats*

Accessible Seating & Special Accommodations*

Yes, one or more members of my party has a disability that requires special accommodations

No, no one in my party requires any accommodations

Performances Needing Accommodation*

In The Year of The Boar — 10:00am, 24 Jan 23

In The Year of The Boar — 12:15pm, 24 Jan 23

Hello Gold Mountain — 12:15pm, 24 Feb 23

Danny Carmo's Mathematical Mysteries — 10:00am, 13 Apr 23

Danny Carmo's Mathematical Mysteries — 12:15pm, 13 Apr 23

Seats Needed for Wheelchair Users

Seats Needed for Visually Impaired Attendees

Seats Needed for Hearing Impaired Attendees

Is there a need for ASL interpretation?*

Yes

Additional Details & Requests

Please provide us with any additional details or requests regarding your needs not captured above. If you have any questions, feel free to contact MBT Program Director Renee Gaumond at renee.gaumond@mountbakertheatre.com or (360) 738-7508.

Policies and Procedures*

All attendees—including students, parents, chaperones, drivers, and infants—must have a reserved seat.

Attendees are seated by group and assigned seats at the discretion of Mount Baker Theatre based on the needs of the entire audience. MBT makes an effort to seat schools/classes together. Seating charts are emailed approximately one week prior to show. Reservations made within one week of the show may not receive an advance seating assignment and may be seated in a sperate location.

Teachers/schools are responsible for their own transportation. MBT will assign bus loading zones by street. All buses must park off-site during performances, either at BSD Transportation Center or Civic Field (non-BSD buses).

You will not receive individual tickets. Bring your email confirmation to identify your group or students.

→ For questions about reservations/payments contact the MBT Box Office at tickets@mountbakertheatre.com or (360) 734-6080.

→ For questions about seating charts, study guides, or show content contact MBT Program Director Renee Gaumond at renee.gaumond@mountbakertheatre.com or (360) 738-7508.

Cancellation Policy *

Cancellations/subtractions must be made at least one month prior to the show to be eligible for a refund, invoice adjustment, or performance exchange.

I have read and understand the MBT Wade Bennett Kind Education Series Policies and Procedures as outlined above.

Additional Comments from Applicant

Send me a copy of my responses

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