Please fill in all sections of this application.

School Information

School Name:

School Address: City, State and Zip:

Principal's Name: School Phone:

Contact Person: Position:

Email: Contact Phone:

Tickets

Grade Levels Attending: 1st2nd3rd4th5th6th7th8th9th10th11th12th

Number of Students per Grade:

Please select the day and time you would like the performance to take place in order of preference. Performance dates must be booked 4 weeks in advance.

First choice: —Please choose an option—October, 2015November, 2015December, 2015January, 2016February, 2016March, 2016April, 2016May, 2016June, 2016

Second choice: —Please choose an option—October, 2015November, 2015December, 2015January, 2016February, 2016March, 2016April, 2016May, 2016June, 2016

Third choice: —Please choose an option—October, 2015November, 2015December, 2015January, 2016February, 2016March, 2016April, 2016May, 2016June, 2016

Which ensemble would you like to request? To select multiple ensembles hold the shift key while clicking the desired options. View ensemble descriptions (opens in a new window)
The Two-Frog DuoWoodwind QuartetA Piacere String QuartetThe Classical Jazz EnsembleThe Hartford Symphony String QuartetThe Mosaic String TrioThe Wind Quintet

Ensemble costs run between $450 and $1,850. However, subsidies may be available. Please contact Miriam Engel at mengel@www.hartfordsymphony.org to discus?s.

Do you have a specific theme you would like us to tie into your curriculum, if possible? If yes, please describe:

Has your school ever had a Hartford Symphony Ensemble perform?
yesno

In School Ensembles Policies and Requirements (opens in a new window)

I confirm that all information submitted is correct and agree to the terms stated in the Policies and Requirements. 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 form, an education staff member will contact you with available dates starting with your preferred month. Applications will be handled on a first come first serve basis.

Thank you for choosing the Hartford Symphony Orchestra Education Programs. We look forward to working with you and your students this year.

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