Application - Free Concerts for Youth
Please fill out on form for each class: 
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Email *
Teacher's name *
Teachers email address: *
School: *
City: *
School phone number: *
Grade/grades *
Number of students attending: *
Number of chaperons (including teachers) *
Total number of people in your group attending (this should be the total of the two numbers above) *
For statistical purposes only: What % of your students are socioeconomically disadvantaged?
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We now have have one Free Concert for Youth date remaining this year!  *
Preferred concert time: *
Important! Please answer only if you have selected to attend one of the concerts on May 9th.
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Would you like more information on the IGNITE! recorder program?
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Is there anything we should know about your class ahead of time? Any accessibility needs we should be aware of?
 For more in-depth questions please contact Education Outreach Manager, Laura Leipzig at 
(707) 546-7097 x225 or lleipzig@srsymphony.org
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