CATTARAUGUS-ALLEGANY BOCES ∙ INSTRUCTIONAL SUPPORT SERVICES Please visit www.go2iss.org for the most current information.


Cattaraugus/Allegany BOCES CoSer 403 Performing Arts


Authorization for Participation Form


School District _______________________________________________________________________ School Building ______________________________________________________________________ Contact Person ______________________________________________________________________ Performance Title ____________________________________________________________________


Artist and/or Organization Name ___________________________________________________________________________________ Event Place _________________________________________________________________________


Date(s) of Event ______________________________________________________


# of students __________________ Grade level(s)________________________


Total Charges to be Paid __________________________________________________________________


Administrative Signature ________________________________________________ Date _____________


Return to: Sara Benjamin


Phone: 716-376-8208 Fax: 716-376-8438


District Administration may contact Laurie Sledge


(716-376-8357 or laurie_sledge@caboces.org) for information and registration. 62 | P a g e


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