LET FREEDOM SWING 2018-2019 Group Contact First Name Group Contact Last Name Position Work Phone Email School Name School Address School City School State School Zip Code Is your school (choose one):publiccharterprivate Let Freedom Swing is only available as a three-part series. Let Freedom Swing 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 —Please choose an option— Jazz and Democracy —Please choose an option— Time —Please choose an option— Jazz and the Great Migration —Please choose an option— Time —Please choose an option— Jazz and Civil Rights —Please choose an option— Time —Please choose an option— 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? yesno Please Explain: Are you the contact for the day of the concert? yesno Location Information: Does your school have a tuned piano in the performance space? yesno Does your school have a working PA system and microphone? yesno Is load-in different than the address listed? yesno Is there parking lot access? yesno Is there anything else we should be aware of? Professional Development Session (recommended for all teachers) Date: TBD 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? [radio* ProfessionalDev default:1 "yes" "no"] How many teachers will be attending the Professional Development Session? Payment Information: Payment is not required prior to registration. —Please choose an option— Checks and money orders should be made payable to and sent to: Jazz at Lincoln Center Accounts Receivable 3 Columbus Circle, 12th Floor New York, NY 10019 School Contact for Payment Name Name Name 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 2018-2019 season of JALC’s Let Freedom Swing Program.