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2. Registration for Virtual Symphony by the Sea 2021
4. Name of School or Youth Group*
6. Contact First Name*
7. Contact Last Name*
9. School Mailing Address*
11. City*
12. State*
13. Zip Code*
15. The best phone number to reach you at*
17. What email address would you like your virtual materials sent to?*
19. Terms and Conditions: Disappearing Link*

    This virtual program will be available March 24th-March 30th only. During that window you will have unlimited the views; however, after March 30th, the link will expire.

    1. I understand that the link will expire.
21. Terms and Conditions: Do not share the link.*

    This program is made available through generous donors. While we are providing it free to the public, we do ask that each viewer obtains their own registration link.

    1. I will not share the link with anyone other than my students.
23. Grade level of students viewing the video*

    Include all that apply.

    1. K
    2. 1st
    3. 2nd
    4. 3rd
    5. 4th
    6. 5th
    7. 6th

    1. 7th
    2. 8th
    3. 9th
    4. 10th
    5. 11th
    6. 12th
25. Total number of students you intend to share the video with*
    If you are sharing this video with other teachers, please also include the number of students they will show the video to.
27. Are you sharing the video with any other teachers?*

    1. Yes
    2. No, it's just for me and my students
29. Additional Teacher 1 Name
30. Additional Teacher 1 Email
32. Additional Teacher 2 Name
33. Additional Teacher 2 Email
35. Additional Teacher 3 Name
36. Additional Teacher 3 Email
38. Would you like a Zoom Q&A session?*

    1. Yes
    2. No
40. Virtual Q&A Session (Optional)
    The optional Zoom Q&A session provides your students the opportunity to ask questions about the program to representatives from the Tulsa Symphony Orchestra and the Oklahoma Aquarium.
42. 1st Choice Date for Q&A Session (Optional)
    -- Select One --Wednesday, March 31stThursday, April 1stFriday, April 2nd

    Leave blank if you do not want a Zoom Q&A session.
43. Time preference for Q&A session (Optional)
    -- Select One --9:00 a.m.10:00 a.m.11:00 a.m.No preference
45. 2nd Choice Date for Q&A Session (Optional)
    -- Select One --Wednesday, March 31stThursday, April 1stFriday, April 2nd
46. Time preference for Q&A session
    -- Select One --9:00 a.m.10:00 a.m.11:00 a.m.No preference
48. Will your students be Zooming remotely, from their own devices?

    1. Yes, they have their own devices.
    2. No, we'll be Zooming from a shared device in a classroom (or multiple classrooms)
50. How many students will be participating in the Zoom Q&A session?
    Max. of 100 students per session.
52. If you are sharing the video with other teachers, would you like the other teachers to participate in the Q&A session with you?

    1. Yes, please share the Zoom meeting invite with the teachers listed above
    2. No, they do not want a Zoom Q&A session
    3. N/A - I am not sharing with other teachers
54. Additional Comments
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field