For more information on
Jazz For Young People®: Jazz Meets Gospel
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Group Contact First Name (*)
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Group Contact Last Name (*)
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Work Phone (*)
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Email address (please list an address you regularly check) (*)
School Name (*)
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School Street Address (*)
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Show: Jazz Meets Gospel, hosted by Damien Sneed
Date: Friday, November 8, 2013
Location: Frederick P. Rose Hall, Home of Jazz at Lincoln Center Broadway at 60th Street, 5th Floor
Please choose a time.
12:15 p.m. is now sold out. To be placed on a waiting list, please email JFYPschools@jalc.org. (*)
10:00 a.m. (recommended for grades K - 5)
Tickets are $8 per student
1 free adult chaperone/teacher for every 10 students.
Additional chaperones/teachers are $8 per person
This performance is for groups of 10 or more.
Grades of students attending: (*)
Number of students attending (*)
Number of teachers attending: (*)
An invoice will be emailed to you, based on the number of students and chaperones you have indicated. Please see below for additional payment information.
How will your group be arriving at the theater:
Subway School bus
Do you have any students with special needs? If so, please explain:
Professional Development Session (recommended for all teachers)
Date: October 22, 2013
Location: Jazz at Lincoln Center
Irene Diamond Education Center
Broadway at 60th Street, 5th Floor
Time: 4:30 - 6:00 p.m.
Tickets: Free and open to all teachers and administrators attending the November 8, 2013 performance.
Number of teachers attending the
Professional Development Session:
Checks and money orders should be made payable and sent to:
Jazz at Lincoln Center
Education Department, Jazz for Young People
3 Columbus Circle, 12th Floor
New York, NY 10019
Jazz at Lincoln Center's NYC-FMS vendor number: JAZ005000
Jazz at Lincoln Center's contract number: QR164AG
For More Information
Phone: 212-258-9974 Email: firstname.lastname@example.org
Fax: 212-258-9900 www.jalc.org/jfypschools
I understand and agree to the terms listed above. I acknowledge this agreement with my name and initials below Name and Initials: (*)
Payment in full must be received no later than October 25, 2013. Payments can be made via purchase order, check, or credit card. Checks and Purchase Orders should be made payable to Jazz at Lincoln Center. Cash will not be accepted for any performances. Groups are required to pay for the number of students and chaperones listed on this order form (
even if fewer attend). Payments are not accepted the day of the performance.
Cancellation Policy: Cancellations must be made within two weeks of the concert date or no refund will be issued. Cancellations must be made within two weeks of the concert date or no refund will be issued. Cancellations made less than two weeks before the concert will require payment in full. Attendance at this performance is subject to photo and video recording for promotional purposes for Jazz at Lincoln Center.