Jazz For Young People on Tour Registration 2017 - 2018

Group Contact First Name

Group Contact Last Name

Position

Work Phone

Email address

School name

School Address

School City

School State

School Zip Code

Is your school (choose one):

Jazz for Young People on Tour® is only available as a three-part series. Jazz for Young People on Tour® is available to schools in the 5 boroughs for $1800 per series. NYC Department of Education (DOE) Schools may purchase this program for only $600. Please select a date and time for each performance.

Price

Jazz and Democracy

Time

Jazz and the Great Migration

Time

Jazz and Civil Rights

Time

How many students should we expect? (Number of students cannot exceed 150 and the same students must attend all three concerts).

Grade range

Any special ed students?

Does your school have an instrumental music program?
Yes    No

Please explain:

Are you the contact for the day of the concert?
Yes    No


Location Information:

Does your school have a tuned piano in the performance space?
Yes    No

Does your school have a working PA system and microphone?
Yes    No

Is load-in different than the address listed?
Yes    No

Is there parking lot access?
Yes    No


Is there anything else we should be aware of?

Professional Development Session (recommended for all teachers)
Date: Tuesday, October 3, 2017
Location: Jazz at Lincoln Center
Irene Diamond Education Center
Broadway at 60th Street, 5th Floor
Time: 4:30 - 6:00 p.m.

Will you be attending the Professional Development Session?
Yes    No

How many teachers will be attending the Professional Development Session?


Payment Information:

Payment is not required prior to registration.

Purchase Order (P.O. Box Number)

Money order number

If you wish to pay by credit card, please call 212-258-9974 after submitting this form.

Checks and money orders should be made payable to and sent to:
Jazz at Lincoln Center
Education Department - Jazz for Young People
3 Columbus Circle, 12th Floor
New York, NY 10019

School Contact for Payment

Name:

Email:

Phone Number:

Reservations will be processed on a first-come, first-served basis and will be confirmed via email. Payments can be made via purchase order, check, or credit card. Checks and Purchase Orders should be made payable to Jazz at Lincoln Center. Cash will not be accepted. Payment must be received prior to the Spring concert. Cancellations must be made at least two weeks before the first concert date or full payment will be required.

By checking this box you are committing to take part in the 2017-2018 season of JALC’s Let Freedom Swing Program.

Please correct the following errors: