Hubbard Street Dance Chicago Student Matinee Registration Request

Chicago-based Hubbard Street Dance has been setting new standards for contemporary dance for almost fifty years. Approaching dance with the intention to “reinvigorate the human spirit,” they bring a burning energy to their numerous performances, including their global tours.

Friday, February 28th 11am Target grades: 3rd-12th

$4 per person

Registration requests are taken on a first come first served basis and admission is not guaranteed. You will be contacted within 5 business days of your request. If you have not been contacted within 5 business days or have any questions or concerns, please contact the Community Engagement Manager Melissa Salguero at Melissa.salguero@utah.edu

Your Information

First Name *

Last Name *

School Name *

School District *

Type of school *

School Address *

City *

State *

Zip *

Primary Phone Number *

Email Address - ALL CORRESPONDENCE INCLUDING LINK TO PAY WILL BE SENT TO THIS ADDRESS *

Number of students. *

Number of adults you would like to attend the performance? *

Grade level of students, please mark all that apply. *

Please indicate what mode of transportation you will be utilizing to arrive at the event (if this changes you need to notify us prior to the event): *

Please indicate any accommodations needed for the event. If an accommodation is not listed, please select other and specify. For other, please state the reason for accommodation. For any accommodation, please elaborate in the comment section below if needed. *

Accessible Seating (Wheelchair access seating)

ASL Interpretation

ALD (Assistive Listening Device)

Trained Service Animal Joining (Please note: Emotional Support Animals and pets are not permitted.)

Sight Impairment Seating

None

Other Other

Media Release Statement

Photography and videotaping of students is occasionally done for reporting, grant and publicity purposes. I understand that students' images may be used for these purposes. By selecting "I agree", I hereby release and discharge the Presenter from any and all claims and demands arising out of or in connection with the use of the photographs or video, including without limitation any and all claims for libel or invasion of privacy. *

I Agree

I Disagree & will contact the Community Engagement Manager to make arrangements.

Event Confirmation Information

There is a $4 fee per person for this event. Registration is done on a first come, first served basis. If your registration is accepted, you will be notified by email within 5 business days of your registration request. All correspondence, including payment information and a payment deadline, will be done via email. Failure to confirm and or pay by the deadline without prior arrangement can result in the cancellation of your reservation or being placed on the waitlist. *

I have read and understood.

Financial Aid Application

Through the generosity of our donors, we can provide financial aid to students and teachers for our educational matinees. Please indicate if you are applying for financial aid below: *

I do NOT need financial assistance.

I would like to request Financial Aid - Tuition Reduction or Waiver

I would like to request Financial Aid - Transportation Assistence

Schools that meet one of the below qualifications are eligible for fee reduction from $4/student to $2/student. Schools that meet two or more of the qualifications below may receive a full registration fee waiver. Schools may also request a reimbursement of up to $250 to cover costs relating to transportation. This reimbursement is limited to once per academic year for each school.

Please select which of the following qualifications apply to your school/students:

Classified as a Title 1 School

A majority of the student population receives free or reduced lunch and/or receives SSI OR SSDI

A majority of the student population is in Foster Care (under Utah or local governmental supervision)

A majority of the student population is in State Custody Division of Child and Family Services or the Utah Juvenile Justice Department

A majority of the student population receives McKinney-Vento

A majority of the student population is from a rural district within Utah

Thank you for your interest in UtahPresents Student Matinees. For any questions or concerns, please contact the Community Engagement Manager Melissa Salguero at Melissa.salguero@utah.edu