Group Contact First Name
Group Contact Last Name
Position
Work Phone
Email address
School name
School Address
School City
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School Zip Code
Is your school (choose one): Public Title One Charter Private
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 --- $600 - DOE schools ONLY $1800
Jazz and Democracy --- Monday, October 17, 2016 Tuesday, October 18, 2016 Thursday, October 20, 2016 Tuesday, October 25, 2016 Wednesday, October 26, 2016 Thursday, October 27, 2016 Friday, October 28, 2016 Monday, October 31, 2016 Tuesday, November 1, 2016 Wednesday, November 2, 2016 Thursday, November 3, 2016 Friday, November 4, 2016 Monday, November 7, 2016 Wednesday, November 9, 2016 Thursday, November 10, 2016 Monday, November 14, 2016 Tuesday, November 15, 2016 Wednesday, November 16, 2016 Thursday, November 17, 2016 Friday, November 18, 2016
Time --- 9:00 a.m. 9:15 a.m. 9:30 a.m. 9:45 a.m. 10:00 a.m. 10:15 a.m. 10:30 a.m. 10:45 a.m. 11:00 a.m. 11:15 a.m. 11:30 a.m. 11:45 a.m. 12:00 p.m. 12:15 p.m. 12:30 p.m. 12:45 p.m. 1:00 p.m. 1:15 p.m. 1:30 p.m. 1:45 p.m. 2:00 p.m. 2:15 p.m. 2:30 p.m. 2:45 p.m. 3:00 p.m. 3:15 p.m. 3:30 p.m. 3:45 p.m. 4:00 p.m.
Jazz and the Harlem Renaissance --- Monday, January 9, 2017 Tuesday, January 10, 2017 Wednesday, January 11, 2017 Thursday, January 12, 2017 Friday, January 13, 2017 Tuesday, January 17, 2017 Wednesday, January 18, 2017 Thursday, January 19, 2017 Monday, January 23, 2017 Tuesday, January 24, 2017 Wednesday, January 25, 2017 Thursday, January 26, 2017 Friday, January 27, 2016 Monday, January 30, 2017 Tuesday, January 31, 2017 Wednesday, February 1, 2017 Thursday, February 2, 2017 Friday, February 3, 2017 Monday, February 6, 2017 Tuesday, February 7, 2017 Wednesday, February 8, 2016 Thursday, February 9, 2017 Friday, February 10, 2017
Jazz and the Civil Rights Era --- Tuesday, May 2, 2017Wednesday, May 3, 2017Thursday, May 4, 2017Monday, May 8, 2017Tuesday, May 9, 2017Wednesday, May 10, 2017Thursday, May 11, 2017Friday, May 12, 2017Monday, May 15, 2017Tuesday, May 16, 2017Wednesday, May 17, 2017Thursday, May 18, 2017Friday, May 19, 2017Monday, May 22, 2017Tuesday, May 23, 2017Thursday, May 25, 2017Friday, May 26, 2017Tuesday, May 30, 2017Wednesday, May 31, 2017Thursday, June 1, 2017Friday, June 2, 2017
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
Contact First Name Contact Last Name Contact Position Contact Email
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
Load-in Address Load-in City Load-in Zip Code Load-in State
Is there parking lot access? Yes No
Parking Address Parking City Parking State
Is there anything else we should be aware of?
Professional Development Session (recommended for all teachers) Date: Monday, October 3, 2016 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 is not required prior to registration.
Check Purchase Order Money Order Credit Card
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
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 2016-2017 season of JALC’s Let Freedom Swing Program.