Open Door Individual Family Application

Name: Roald Dahl’s WILLY WONKA TYA (ASL Interpreted & Audio Described Performance)
Start: 2019-07-06T13:00:00-05:00
End: 2019-07-06T14:00:00-05:00
Location: Stages Theatre Company

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, Matt Ouren, at (952) 979-1112 or email.

APPLICATION

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*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Phone 2
Which season are you submitting this request for?
- 2018/2019 SEASON
- 2019/2020 SEASON
Annual Gross Income $*
Number of People in Household*
Are you currently receiving any financial assistance*
- Yes
- No
If yes, please explain
Other information/special circumstances
SIGNATURE: I certify that, to the best of my knowledge, all of the information listed above is accurate and all income has been reported.*
Notification about awards will be sent out via mail or e-mail. Preferred method of communication - please check one.*
Check one
- MAIL
- EMAIL

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