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Performance
Booking for Kellylee Evans’ Jumping Jazz Journey
"
*
" indicates required fields
Contact Information
1. Contact Person
Contact Name
*
Contact Title
*
Phone Number
*
Email Address
*
Billing contact
Billing is the same as contact information
Same as contact information
Contact Name
*
Contact Title
*
Phone Number
*
Email Address
*
Contact during activity
Activity is the same as contact information
Same as contact information
Contact Name
*
Contact Title
*
Phone Number
*
Email Address
*
School / Organization Information
Is it a school booking or a community booking?
*
School booking
Community booking
Name of School / Organization
*
Phone
*
Address
*
Street Address
Address Line 2
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School Board (If you are booking for a school)
Algoma District School Board
Algonquin and Lakeshore Catholic District School Board
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Conseil scolaire de district catholique Franco-Nord
Conseil scolaire de district catholique de l'Est ontarien
Conseil scolaire de district catholique des Aurores boréales
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Conseil scolaire de district catholique du Centre-Est de l'Ontario
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Community (community centres, museums, libraries, festivals)
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Other School Board
Program Information
If you have picked a virtual program
Pick a medium
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Microsoft Teams
Google Meet
YouTube
Other
Age
*
Pick the age group you are booking for
Children ages 12 - 18
Children ages 5 - 11
Grade 1
Grade 10
Grade 11
Grade 12
Grade 2
Grade 3
Grade 4
Grade 5
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Grade 9
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Language
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Pick a language
English
Number of participants
*
Please enter a number from
1
to
1000
.
Please provide your preferred dates and times
*
We will be in touch if the artists are not available for those dates and times and propose new options.
Date
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Time
Hours
:
Minutes
AM
PM
AM/PM
Time
Hours
:
Minutes
AM
PM
AM/PM
Date
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
Time
Hours
:
Minutes
AM
PM
AM/PM
Date
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
Time
Hours
:
Minutes
AM
PM
AM/PM
Additional Information
We'd love to know the reason you are reserving this artists!
Connects to the curriculum
Raises cultural awareness
Learn about an art form
Brings diversity
Engage participants
Explore social/global/environmental issues
Celebrate a Date of Significance (eg Poetry Month; Black Legacy Month)
French Second Language
Experiential Learning/SST
STEAM
Literacy
Other
Does your school/venue require financial assistance for this event if it were available?
*
Yes
No
Which type of financial assistance would your school/venue like to apply for? Please select from the available options:
*
Assistance financière MASC Financial Assistance
Arts Incentive (OCSB internal funding)
ArtistsInspire (English schools inside Quebec)
ImmersART (English schools offering French Immersion)
FSL Enriched Learning (OCSB Internal Funding)
How did you hear about us?
*
Facebook
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Digital Brochure
School Board
MASC Artist
MASC Board Member
Teacher / Colleague
Community Partner / Colleague
Volunteer
Student / Participant
NAC
Funder
Anything else you'd like to tell us?
