Cirque Mechanics Registration Form

Please complete this brief form to let us know that you will be joining us for the Cirque Mechanics special educational performance!

Please fill out the information on the form below to start the process of bringing your students to the Cirque Mechanics school show. After you submit the form, someone from our box office will contact you about details and payment. Thank you!
School Name*
Name*
First Last
Email*
Preferred Phone Number (School or Cell)*
Second preferred phone number
Best time for us to call you

: Hours

Minutes

AM/PM

Please let us know if you would like to be contacted during the school day, and if you have a time that would be best to do so.
More information
If you'd like to describe in greater detail the best time to contact you, please let us know here.
Number of people you'd like to bring (please include chaperones)*
Please enter a number from 1 to 500.
Grade of students*