New Client Intake Form

Please fill out the form below so I can send you a contract for our engagement. If you have any questions, please call 847-361-0924 or e-mail scott@thegreatscott.com.

Thanks!

Your Name

First Name

Last Name

Your Position

Name of School or Organization

Address of School

Your Email Address

School Phone Number

Your Phone Number

Date of Performance(s)

Time(s) of Performance(s)

Approximate total combined audience size

Grade Range of Students

What Type Of Performance Space?

Will There Be A Stage Or Elevated Performance Space?

Where Will The Children Be Seated?

Which Show?

Message