Field Trip Request Form - Actors' Playhouse At The Miracle Theatre

Complete the form on the left to book your field trip via e-mail.

Request will go to
education@actorsplayhouse.org
once you hit “Submit.”

School Name(Required)

School Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

School Phone Number(Required)

School Fax Number

Group Leader First Name(Required)

Group Leader Last Name(Required)

Group Leader Cell Phone(Required)

Group Leader Email(Required)

Name of Show

1st Choice Weekday Date

2nd Choice Weekday Date

3rd Choice Weekday Date

Number of Student Tickets

Grade Level(s) Of Students

Please enter a number from 1 to 12.

Number of Adults

Please enter a number from 1 to 200.

Best time for our representative to contact you?

What is your preferred manner of contact?