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ENCORE! Meet the Orchestra Youth Concert (Fall 2023) - REGISTRATION FORM

SCHOOL REGISTRATION FORM

Thank you for registering for the Eugene Symphony's Fall Youth Concert. If you have questions or need assistance filling out this form, please contact: Katy Vizdal, Education & Community Engagement Director, katy.vizdal@eugenesymphony.org, 541-687-9487 x1116.
 

Concert Details
ENCORE! Meet the Orchestra Youth Concert
Francesco Lecce-Chong, conductor
Tuesday, November 14, 2023
Performances at 10:30am & 12:30pm
Silva Concert Hall, Hult Center for the Performing Arts, Eugene, OR

Concert Fee:
$5.00 for each student and adult. One chaperone per fifteen students will be admitted for free. Scholarships available upon request.

Payment:
Payment is due by Friday, November 3, 2023. Please make checks payable to "Eugene Symphony Association." You will receive a confirmation email, which will include your payment amount, shortly after your registration form is received. Schools will be charged for cancellations made less than one week prior to the concert.
1.School Name(Required.)
2.District Number (eg. Eugene-4J, Springfield-19, Bethel-52)
3.Is your school Title I?(Required.)
4.Please select the category below that best describes your school:(Required.)
5.Primary Contact (Name)(Required.)
6.Contact Position
7.Contact E-mail Address(Required.)
8.Billing Contact (Name, Title)(Required.)
9.Billing Contact (E-mail Address)(Required.)
10.School Mailing Address(Required.)
11.City(Required.)
12.Zip Code(Required.)
13.School Phone Number(Required.)
14.Grade(s) Attending
15.Select which performance your school will attend:(Required.)
16.Number of Students Attending(Required.)
17.Number of Chaperones (Including Teachers) Attending(Required.)
18.Number of Scholarships Requested (students only)(Required.)
19.Estimated Number of Buses(Required.)
20.Please share any special seating accommodations we can provide here: (eg. wheelchair accessibility, preferred seating area in the hall, etc.)(Required.)
21.How did you find out about this Youth Concert?
22.Please list any additional questions or comments you have here: