TCT Pre-Workshop Survey

Name(Required)

First Last

Position/Title(Required)

Email(Required)

Phone(Required)

School or Organization(Required)

School District(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Main Point of Contact for WorkShop (if different than above)

Main Point of Contact Email

Main Point of Contact Phone

During the WorkShop session, TCT requires that a staff member from the school or organization is present. Please list their NAME AND EMAIL here.(Required)

WorkShop Title

Virtual or In-Person?

Virtual

In-Person

Start Date

End Date

Number of Occurrences

WorkShop Time

What time would you like us to arrive at your school/venue?

Requested Final Performance Date (if applicable)

Approximate number of participants

Grade Level(s)

Student age range

Parking notes for the venue

Room details (size, furniture, etc.)

Additional arrival notes

 Please estimate participant diversity by percentage:

Race/Ethnicity %

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Other racial/ethnic group.

Multiethnic

Prefer not to answer

Gender %

Female

Male

Transgender

Non-binary

Prefer not to answer

What percentage of the participants, if any, are differently-abled?

This is the first time I scheduled a workshop/residency from The Children's Theatre in my classroom.

Yes

If you answered "yes", what prompted you to schedule the workshop/residency?

If you answered "no", what motivated you to bring the program back into your classroom?

TCT Pre-Workshop Survey

Please estimate participant diversity by percentage:

Race/Ethnicity %

Gender %

Our Sponsors

 Please estimate participant diversity by percentage: