Music Discovery Request Form

Music Discovery Request Form

The North Carolina Symphony's Music Discovery program is a 30-minute program featuring a Symphony musician playing their instrument, reading a book about music, and introducing the instruments of the orchestra.

Interested in bringing this program to your Head Start Center? Complete the request form below and we will be in touch!

Requests will be reviewed on an ongoing basis.

Sponsored by PNC Grow Up Great
Your Name*

First NameLast Name
Your Title/Position*
Email*
Phone Number*
Format: (000) 000-0000.
Name of Head Start Center*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Your County*
How many children does your location serve?*
Age Range of Children*
Preferred day of week to host a Music Discovery program*

MondayTuesdayWednesdayThursdayFriday
Preferred time for a 30-minute program (select all that apply)*

Between 9-10amBetween 10-11amBetween 11am-12pmBetween 12pm-1pmBetween 1pm-2pmAfter 2pmOther
(Optional) Please provide any other relevant information we should take into account when visiting your center:
Should be Empty: