Qualtrics Survey | Qualtrics Experience Management

Please complete all fields below and submit. Payment is NOT required at this time. We will contact you within five business days to confirm your reservation and send an invoice for payment. At the end of this Reservation Request form you will have the opportunity to also complete a Mini Grant for your selected performance, although this is NOT required to register. We are simply streamlining the process this year for our busy educators! Thank you for your interest in our school shows.

*You must complete a separate reservation request form for EACH show you want to attend*

*** PLEASE NOTE--REGISTRATION CHANGE***

The "Holocaust Speaker Presentation" on Thursday, March 20; 2025 at 10:00 a.m. is a FREE presentation for our Arts for Young America School Series, however, due to high demand, this program will ONLY be available to educators who enroll in Viterbo’s D.B. Reinhart Institute’s annual Teaching the Holocaust Workshop, based on availability. The Fine Arts Center Box Office will NOT take reservations for this program, nor will there be a waitlist. You must register for the workshop for your students to be able to attend the "Holocaust Speaker Presentation." Watch for updates and 2025 workshop dates to be confirmed; www.viterbo.edu/holocaust-workshop. The registration for this workshop will go live on October 1, 2024.

Contact Information:

Please enter your school or group name

Are you a tax-exempt organization

Yes, our school/group has attended an AYA performance at Viterbo previously, and our tax-exempt form is already on file.
Yes, but we need to submit proof of our tax-exempt status before payment.
No. Please note, if your organization is not a registered 501(c)(3) taxes will be included on your invoice.

Main contact's First Name
(Please use only ONE contact per group/grade. If multiple grades are planning on attending the same performance/time from the same school, please list an administrator's contact so we can accurately count the number of buses.)

Main contact's last name

Contact's phone number

Contact's email address

Grade(s) of students attending

Total number of tickets requested (both student and chaperons)

Number of students attending

Number of chaperons that will be attending?
(Note, in accordance with WI State standards we allow a 14 to 1 ratio, unless you need special accommodation. If that is the case, please list the reason in the "Accommodation Section" and we will review on a case-by-case basis.)

How will your group be arriving to the Fine Arts Center

School Bus -- Please indicate how many buses we should expect from your entire school in total-not just your grade
Walking
Personal vehicle (s), i.e. by car, van, or small carpool
We will take Municipal Transit (MTU) and utilizing the bus stop in front of the Fine Arts Center (Bus Line- Route 1).
City of La Crosse MTU Maps/Time Tables

Does your group require special accommodation and/or have any accessibility requests? If so, please list and describe your request; i.e. special seating arrangements, wheelchair accessibility, hearing devices, extra caregivers, etc.

No
Yes