Preservation Hall Foundation Lead Form
Event Request
Please fill out the form below to request information about hosting your event.
Your Contact Information
First Name
Last Name
Travel Agency Name (if applicable)
Email Address: Primary Contact
Please enter a valid email address.
Location
Preservation Hall Foundation
Email Address: Contract Signatory
Email Address: Contract Signatory can't be blank
On-Premise Event
Email Address for Post-Event Survey & Photos
This field is required.
Phone Number
Ext.
School Name
School Name can't be blank
School City/State
School City/State can't be blank
Is this request for a public school in Orleans, St. Bernard or Jefferson Parish?
Please select an option
YES
NO
Please select an option.
Lead Teacher/Group Leader Name
Lead Teacher/Group Leader Name can't be blank
Event Date
Enter date in MM/DD/YYYY format or click calendar icon
Alternate Event Dates
0 / 50
Alternate Event Dates can't be blank
Preferred Time(s) Note: each Student Concert is ONE HOUR.
9:30am (not available on Wednesdays)
10:45am
12:00pm
1:15pm (not available on Sat/Sun)
2:30pm (not available on Sat/Sun)
Any available time
Please select at least one option.
What grade(s) are your students in?
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Please select at least one option.
Number of Students (each 1 hour event @ 60 guests MAX) **includes chaperones**
This field is required.
Number of Chaperones
This field is required.
What relative/current studies is your class working on? Preservation Hall Foundation can work with you to connect in-classroom learning to your field trip
Will you be attending with students with disabilities that need accommodation? (i.e mobility device access, sensory friendly performance, etc)
Please select an option
YES
NO
Please select an option.
If yes, what type of accommodation would best support the related disability?
May we take photos of your groups that, on occasion, could be used for publicity, social media, newsletters and internal documentation?
Please select an option
YES
NO
Please select an option.
Would you like to request a grant application for financial assistance?
Please select an option
YES
NO
Website
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