SELebrating Music! Workshop Request

SELebrating Music! Workshop Request

Available ONLY in San Diego County, September, 2024 - May, 2025
Contact Name*

First NameLast Name
Contact Email*

Confirmation EmailPlease re-type your e-mail address for confirmation.
Contact Number*
Please enter your primary contact number.
School or Organization Name*
School District Name*
Enter "N/A" if not applicable.
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your school a Title 1 School?*

YesNoOther

Program Cost

$375 for the first workshop

$175 for each additional workshop

A limited amount of scholarship funding is available.
Are you requesting scholarship?*

NoPartial ScholarshipFull Scholarship
Please enter the amount of funding you are requesting.*
Briefly explain your reason for requesting an assembly fee scholarship. Include information about your school population or special circumstances.*

Do you have a time of day preference for the workshops?*

MorningAfternoonNo preference
Please use the space below to list preferred days or dates for the workshops.
We will do our best to accommodate your request.
Any special instructions or additional questions?
Should be Empty:

	Day of Week (M/T/W/Th/F)	Start Time	Recess Start	Recess End	Lunch Start	Lunch End	End Time
Regular Schedule
Early Release/Late Start Schedule