Please fill in all sections of this application. Which concert are you applying for? Presto, Mambo! Wednesday, October 28, 2015 Exploring Emotions, Wednesday, March 23, 2016 at 11:30am The Composer is Dead, Wednesday, April 20, 2016 School Information School Name: School Address: City, State and Zip: Principal's Name: School Phone: Contact Person: Position: Email: Contact Phone: Has your school ever attended a Lincoln Financial Discovery Concert? Yes No Tickets Grade Levels Attending: 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Number of Students per Grade: Do you have students attending with special needs? Yes No If yes, please specify any seating arrangements that need to be made: Total number of student tickets: Total number of adult tickets: (One complimentary chaperone ticket is provided for every 20 paid student tickets.) Please note you will not be sent physical tickets. When you arrive into the Bushnell, an usher will ask you for the name of your school and from there your school will be seated appropriately. Transportation Transportation to and from the performance is NOT provided by the HSO. The school is responsible for providing their own transportation to the performance. Cancellations and Ticket Changes - Information & Terms All changes in ticket numbers and cancellations must be received in writing through fax or mail at least six weeks prior to the concert date. Any decrease in tickets or cancellations after this date will not be refunded and you will be held financially responsible for all requested tickets. Requests for additional tickets will be honored if seats are available. I confirm that all information submitted is correct and agree to the terms stated in “Cancellations and Ticket Changes – Information & Terms”. I understand my responsibility and financial obligations to the Hartford Symphony Orchestra. I booked my participation through Hartford Performs and my voucher number is: I accept these terms: Upon receiving the completed application form, a member of the HSO Education Department will email you to confirm if the tickets requested are available. An invoice will then be mailed to you with payment information. Thank you for choosing the Hartford Symphony Orchestra Education Programs. We look forward to working with you and your students this year.