Symphony Day Registration Form

Comments

This field is for validation purposes and should be left unchanged.

School Name*

Select One:*

School Mailing Information*

Street Address City State ZIP Code

Principal Name*

First Last

Principal Email*

Teacher Name*

This will be the primary contact for Symphony Day communication.

First Last

Teacher Email*

Teacher Cell Phone*

Will only be used for emergencies on Symphony Day.

Music Teacher Name

Only if different from teacher listed above.

First Last

Music Teacher Email

Grades attending from your school:*

Select All
4th
5th
Other

Number of Seats Needed for Students, Teachers, and Chaperones (combined total):*

Please indicate any special needs for your students, teachers, or chaperones.

Will an American Sign Language Interpreter be accompanying your class to the concert??*

The QCSO will send a copy of the concert script to all school interpreters and directions for interpreting on stage to prepare for the concert.

School Interpreter Name*

First Last

School Interpreter Email*

Concert Attendance Possibilities*

Please highlight all times at which it would be possible for your school to attend Symphony Day.

Concert Attendance Preference:

Will your school be arriving via bus?*

Total Number of Busses from Your School:*

If you share a bus with another school, please indicate which school below:

My school is a Title I school:

Yes, my school is a Title I school.

Please confirm that you have read the following.*

I understand that "The Orchestra Sings" concert invites students to play soprano recorder and/or sing along with the orchestra. Please prepare the participatory repertoire that students will perform at the concert along with the orchestra. Resources can found in the teacher guide (will be emailed to your teacher and music teacher inbox upon submission of this form).