| School: |
|
| School Board (or Association): |
|
| School Address: |
|
| City: |
|
| Province: |
|
| Postal Code: |
|
| Contact person: |
|
| Position / Title: |
|
| Email address: |
|
| Daytime phone number: |
|
| Fax number: |
|
| 1st choice concert date/time for your grade (choose one): |
Gr K-3: April 24, 2012 at 10:30 am
Gr K-3: April 24, 2012 at 1 pm
Gr K-3: April 25, 2012 at 10:30 am
Gr K-3: April 25, 2012 at 1 pm
Gr K-3: May 1, 2012 at 10:30 am
Gr K-3: May 1, 2012 at 1 pm
Gr 4-6: Feb 8, 2012 at 10:30 am
Gr 4-6: Feb 8, 2012 at 1 pm
Gr 4-6: Feb 14, 2012 at 10:30 am
Gr 4-6: Feb 14, 2012 at 1 pm
Gr 4-6: Feb 15, 2012 at 10:30 am
Gr 4-6: Feb 15, 2012 at 1 pm
Gr 7-12 Educ Concert March 5, 2012 at 10 am
Gr 7-12 Open Dress Reh Oct 6, 2011 at 10 am
Gr 7-12 Open Dress Reh Nov 17, 2011 at 10 am
Gr 7-12 Open Dress Reh March 9, 2012 at 10 am
Gr 7-12 Open Dress Reh May 4, 2012 at 10 am
Gr 7-12 Open Dress Reh May 23, 2012 at 10 am |
| 2nd choice concert date/time for your grade (choose one): |
Gr K-3: April 24, 2012 at 10:30 am
Gr K-3: April 24, 2012 at 1 pm
Gr K-3: April 25, 2012 at 10:30 am
Gr K-3: April 25, 2012 at 1 pm
Gr K-3: May 1, 2012 at 10:30 am
Gr K-3: May 1, 2012 at 1 pm
Gr 4-6: Feb 8, 2012 at 10:30 am
Gr 4-6: Feb 8, 2012 at 1 pm
Gr 4-6: Feb 14, 2012 at 10:30 am
Gr 4-6: Feb 14, 2012 at 1 pm
Gr 4-6: Feb 15, 2012 at 10:30 am
Gr 4-6: Feb 15, 2012 at 1 pm
Gr 7-12 Educ Concert March 5, 2012 at 10 am
Gr 7-12 Open Dress Reh Oct 6, 2011 at 10 am
Gr 7-12 Open Dress Reh Nov 17, 2011 at 10 am
Gr 7-12 Open Dress Reh March 9, 2012 at 10 am
Gr 7-12 Open Dress Reh May 4, 2012 at 10 am
Gr 7-12 Open Dress Reh May 23, 2012 at 10 am |
| 3rd choice concert date/time for your grade (choose one): |
Gr K-3: April 24, 2012 at 10:30 am
Gr K-3: April 24, 2012 at 1 pm
Gr K-3: April 25, 2012 at 10:30 am
Gr K-3: April 25, 2012 at 1 pm
Gr K-3: May 1, 2012 at 10:30 am
Gr K-3: May 1, 2012 at 1 pm
Gr 4-6: Feb 8, 2012 at 10:30 am
Gr 4-6: Feb 8, 2012 at 1 pm
Gr 4-6: Feb 14, 2012 at 10:30 am
Gr 4-6: Feb 14, 2012 at 1 pm
Gr 4-6: Feb 15, 2012 at 10:30 am
Gr 4-6: Feb 15, 2012 at 1 pm
Gr 7-12 Educ Concert March 5, 2012 at 10 am
Gr 7-12 Open Dress Reh Oct 6, 2011 at 10 am
Gr 7-12 Open Dress Reh Nov 17, 2011 at 10 am
Gr 7-12 Open Dress Reh March 9, 2012 at 10 am
Gr 7-12 Open Dress Reh May 4, 2012 at 10 am
Gr 7-12 Open Dress Reh May 23, 2012 at 10 am |
| Grades attending: (Check all that apply) |
Kindergarten
Gr 1
Gr 2
Gr 3
Gr 4
Gr 5
Gr 6
Gr 7
Gr 8
Gr 9
Gr 10
Gr 11
Gr 12
Other |
| Total No. of students (Note: up to 25 provided complimentary; additional student tickets at $7.50 each for Gr K-6 or $8.50 each for Gr 7-12): |
|
| No. of wheelchair seats (included in the above number): |
|
| Total No. of supervisors (One supervisor - at no charge - must attend for every 10 students registered; additional supervisor tickets at $7.50 each for Gr K-6 or $8.50 each for Gr 7-12): |
|
| No. of buses |
|
| Has your school participated in Upbeat! in the last 5 years? |
Yes
No |
| Please explain how you hope your class will benefit from this experience: |
|
| Please include a short statement of support from your school principal indicating the school’s commitment to ensuring that students attend the performance: |
|
| Additional Comments: |
|
|
