Open Door Individual Family Application – Stages Theatre Company

Open Door Individual Family Application

The Open Door Program provides: free and reduced cost tickets, tuition assistance to low-income families, schools, and social service agencies. For more information about free or reduced cost tickets and bus subsidies, and Tuition Assistance contact our Open Door Program Associate at opendoorprogram@stagestheatre.org

Please fill out the form below and click submit.

ODP INDIVIDUAL/FAMILY APPLICATION Thank you for your interest in Stages Theatre Company’s Open Door Program! All information given is confidential and will be kept on record at Stages Theatre Company only. A new application must be submitted each season. All applications are processed in the order they are received.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Which Season Are You Submitting This Request For? *

2019/2020 Season

Annual Gross Income *

Number Of People In Household *

Are You Currently Receiving Financial Assistance? *

Yes
No

If Yes, Please Explain

Other Information/Special Circumstances

Notification *

Mail
E-Mail

Notification about awards will be sent out via mail or e-mail. Preferred method of communication - please check one.

SIGNATURE *

I certify that, to the best of my knowledge, all of the information listed above is accurate and all income has been reported.

Phone