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2023/24 Link Up Program: The Orchestra Swings - REGISTRATION FORM

SCHOOL REGISTRATION FORM

Thank you for registering for the 2023/24 Link Up Program: The Orchestra Swings. 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.

Program Details available on the Eugene Symphony website, HERE.
1.School Name(Required.)
2.District Number (eg. Eugene-4J, Springfield-19, Bethel-52)
3.Is your school Title I?
4.Please select the category below that best describes your school:
5.Primary Contact (Name)(Required.)
6.Contact Position(Required.)
7.Contact E-mail Address(Required.)
8.Contact Phone Number(Required.)
9.Billing Contact (Name, Title)(Required.)
10.Billing Contact (E-mail Address)(Required.)
11.School Mailing Address(Required.)
12.City(Required.)
13.Zip Code(Required.)
14.Grade(s) participating in the Link Up program(Required.)
15.Please confirm which professional development training you will attend.(Attendance required)(Required.)
16.If available, do you want a physical copy of the Link Up: The Orchestra Swings Teachers Guide?(Required.)
17.YOUTH CONCERT: Select which culminating Link Up Youth Concert your school will attend:(Required.)
18.Number of students participating in Link Up / attending the Youth Concert(Required.)
19.Number of chaperones (including teachers) attending Youth Concert(Required.)
20.Number of Scholarships Requested (students only)(Required.)
21.Estimated number of buses for Youth Concert(Required.)
22.Please share any special seating accommodations we can provide here: (eg. Wheelchair accessibility, preferred seating area in the Silva Hall, etc.)(Required.)
23.How did you hear about this program?
24.Please list additional questions or comments you have here: