A Year with
Frog And Toad
Elementary School Matinee Reservation Form
Early reservations due by May 23, 2008
(Appropriate for students in 1st – 5th grade)
Please send completed forms to:
Kathy Teigland, Theatre Simpson
Simpson College
701 N C Street
Indianola IA 50125
or fax to:
515.961.1758
or e-mail:
kathy.teigland@simpson.edu
Total number of persons in group
Total number of paid tickets
Number of complimentary chaperone tickets (1 per every 10 paid)
Performance date and time desired (check one)
Thursday, November 20 at 9:00 a.m.
Thursday, November 20 at 12:00 p.m. ________
Friday, November 21 at 9:00 a.m.
We (have enclosed/will send) $ @ $4.00 per paid ticket. Checks made payable to Simpson College should be returned with your registration form. (We regret that we cannot accept credit cards or purchase orders.) Please note that payment is due by September 19, 2008 for reservations made this spring. If payment is not made we will release your reservation.
Teacher’s Signature
Name of School Teacher Phone Number _______________________ Teacher E-mail _____________________________
Grade Level of Class _________________________