Request Form

Contact Information

Your Name: Affiliation with School:
Phone Number: Fax number:
E-mail: Mailing Address:

School Contact Information
School Contact Name: Title:
School Name: School District:
Phone Number: Fax number:
School E-mail: Mailing Address:
School Principal’s Name:    

iChoose School Performance Details
Proposed Event Date (Ist choice): Proposed Event Time:
Proposed Event Date (2nd choice): Proposed Event Time (2nd choice):
Location where “iChoose” performance will take place (please be specific):
Please list the approximate number of students that will be in attendance & what grade level(s) will be represented:
Approximately how many faculty (staff/teachers) will be in attendance?
Are there any special considerations & concerns you would have about setting up the Victory Over Violence exhibit prior to the performance date?
Please provide detailed parking information for the iChoose cast and crew.
Are there any school clearance forms that need to be filled out? Please list:
Do you have any questions or comments about the iChoose production? Please list:
 

For answers to any additional questions, please contact the iChoose production coordinator Danny Hall via office phone at 310-309-3209 or via email at dhall@icapeace.org.