Kids in Concert Application Form

Kids in Concert 2010 Application

All fields are required. After submission of the form, an email confirmation showing what you've entered will be sent to the Primary Contact's email address. Please enter all email addresses carefully as we have no way to verify them.

GROUP INFORMATION

Name of School:

Address:

City, State, Zip:

School Principal:

School District:

Phone Number:

Email:

District Superintendent:

Address:

City, State, Zip:

Phone Number:

Email:

Name of Group:

Performance Genre:

Performance Piece:

Total # of Students in Performance:

Decade You Wish Assigned:

PRIMARY CONTACT

Name:

Title:

Address:

City, State, Zip

Day Time #:

Mobile Phone #:

Email:

VIDEO SUBMISSION (Check One)

I will mail the VHS tape or DVD before the deadline to Chantelle Brown.
I have uploaded my video to YouTube and will provide its web address by email to cbrown@edlawcenter.org.
I have already uploaded our video to YouTube and entered its web address below.
YouTube Address (optional)

Education Law Center

60 Park Place, Suite 300 | Newark, New Jersey 07102

973-624-1815 | Fax 973-624-7339 | TTY 973-624-4618

E-Mail: elc@edlawcenter.org