YOLA Form

P1: Registrant Information

1. Please enter your information

Full Name:

First NameLast Name

Address:

Street Address

Street Address Line 2

CityState/Province

Zip CodeCountry

Email:

Organization

Phone Number

Area CodePhone Number

Organization Type (check all boxes that apply)

How long has your organization been in operation?

Title (check all boxes that apply)

Gender

Ethnicity (check all boxes that apply)

2. Additional Information

Dietary Restrictions (check all boxes that apply)

Do you need ADA assistance?

If yes, please specify

Have you attended a Take a Stand or YOLA Symposium in the past?

If yes, which year? (check all boxes that apply)

3. Emergency Contact Information

Full Name of Emergency Contact

First NameLast Name

Relationship to attendee

Email

Phone Number

Area CodePhone Number

P2: Event Reservations

YOLA National Festival Concert: Registration includes a complimentary ticket to the YOLA National Festival Orchestras Performance on Friday July 26, 2019 at 7:00pm at Walt Disney Concert Hall? Would you like to reserve a ticket?

Hollywood Bowl Concert: Registration includes a complimentary ticket for “Dudamel and Yuja Wang” at 8:00pm on Thursday July 25, 2019 at the Hollywood Bowl. Would you like to reserve a ticket?

If you plan to attend the Hollywood Bowl Concert, bus transportation will be provided. Would you like to RSVP for transportation?

P3: Accommodations

Shared Accommodations: We understand that for some traveling to and from the symposium, cost can be a barrier. Would you like to be connected with other attendees who may be interested in sharing a room to alleviate cost?

P4: Scholarship

Teaching Artists and program staff are eligible to apply for travel scholarships. Please indicate below if you plan to apply for a scholarship. (Scholarship applications will open on Friday, May 24)

P5: Acknowledgement

Photo/video release

P6: Organization Affiliation

My organization is a member of El Sistema USA

If yes, please choose your organization from the list of El Sistema USA Member