Thank you for using the online registration form for the Eugene Symphony's Musical Time Machine Elementary Youth Concert.

Concert Details
Date: Tuesday, November 14, 2016
10:30 - 11:15 am & 12:30 - 1:15 pm
Silva Concert Hall, Hult Center for the Performing Arts

A supplemental teacher packet will be available in Fall 2017 on the Eugene Symphony website here!

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

Payment: Payment is due by Friday, November 21. Please make checks payable to Eugene Symphony. 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.

Please visit our website for a list of grants available to help fund youth concert costs.

* 1. School Name

* 2. District Number

* 3. Contact Person

* 4. Contact Position

* 5. Contact E-mail Address

* 6. School Mailing Address

* 7. City

* 8. Zip Code

* 9. School Phone Number

* 10. Grade(s) Attending

* 11. Which performance will your school be attending?

* 12. Number of Students Attending

* 13. Number of Chaperones Attending

* 14. Number of Scholarships Requested

* 15. Number of Wheelchairs

* 16. Estimated Number of Buses

* 17. Special Seating Needs (Other Than Wheelchairs)

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