(Please include the following information with your check, made payable to Wesport PTA Council.)

Please reserve ____ tickets in my name. I have attached a check for ________________.

Name of person(s) reserving tickets: ___________________________________________
Phone Number: _______________________  e-mail: _____________________________

($10 per ticket if fewer than 10 registered together; $8.00 per ticket for 10 or more people registered together.)

Mail check to:     Polacco Event-Ticket Coordinator, Green’s Farms School-LMC
                        17 S. Morningside Drive    Westport, CT 06880