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: ---October, 2015November, 2015December, 2015January, 2016February, 2016March, 2016April, 2016May, 2016June, 2016

Second choice: ---October, 2015November, 2015December, 2015January, 2016February, 2016March, 2016April, 2016May, 2016June, 2016

Third choice: ---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.