Request for License: Butterfly's Flight

Name

Email Address

Phone

Organization Name

Address

Web and Social Media Links

Performance Dates

Location

Number of Seats

Ticketed or Non-Ticketed Ticketed or Non-TicketedTicketed EventNon-Ticketed Event

Student Tickets? Student Tickets?YesNo

Accredited School/Degree Seeking Program? Accredited School/Degree Seeking Program?Accredited School/Degree Seeking ProgramUnaccredited Educational ProgramOther