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2022-2023 Project Harmony Enrollment Form

Thank you for your interest in Project Harmony! Please fill out the registration form below to get started. If you are interested in enrolling more than 1 student, we kindly ask that you fill out a separate form for each interested child in your family. Thank you!

* Indicates required field

Student Information

First Name *
Last Name *
Date of Birth (MM/DD/YYYY) *
School *
School Dismissal Time *
Grade Level (Project Harmony is currently open to 2nd through 5th graders) *
Student Pronouns (this is so we know how to address your student). Please select all that apply.
Ethnicity (Please select all that apply.) *
What language(s) are spoken at home? *
Please list any special circumstances (i.e. behavioral needs, psychiatric diagnoses, mental health needs, etc.).
Please list any allergies or medical concerns (i.e. has an inhaler, is diabetic).
Will your student be a First Year or Returner? *
If you selected First Year, please select the type of instrument your child is most interested in learning about.
If you selected Returner and your child has their own instrument at home, please list the instrument.
T-Shirt Size (Youth Sizing) *

Parent/Guardian Information

First Name *
Last Name *
Address *
City *
State *
Zip *
Announcements and updates are primarily communicated through email and text. Please list the primary email addresses and cell phone number(s) you would like to be added to our communications list:
Email Address 1 *
Email Address 2
Cell Phone Number 1 *
Cell Phone Number 2
Cell Phone Number 3

Emergency Contact Information

Please provide information for two emergency contacts. This information will be very important in the event of an accident or medical emergency.

Emergency Contact 1 Name *
Emergency Contact 1 Relationship to Child *
Emergency Contact 1 Phone Number *
Emergency Contact 2 Name *
Emergency Contact 2 Relationship to Child *
Emergency Contact 2 Phone Number *

Family Acknowledgement and Agreement

I will arrange for my child to be present at the scheduled time on designated Project Harmony days. *
I will transport or arrange transportation for my child to arrive at Project Harmony by my location's start time on designated Project Harmony days. *
I agree to pick my student up from orchestra promptly at my location's end time or make arrangements for them to get home. *
I understand that if my child needs immediate medical attention and I cannot be reached, Project Harmony staff will call an ambulance. I understand that I will be financially responsible for any transportation and treatment. *
I authorize my student's participation in the Project Harmony after school program. *
Project Harmony is a partnership program between the Charlotte Symphony Orchestra (CSO) and ArtsPlus. Your contact information, including emails, phone numbers, addresses, and other information you provided at registration, is held confidentially by Project Harmony staff members. It has not been shared throughout CSO and ArtsPlus administration. 

We recognize that some families are interested in receiving communications from CSO and/or ArtsPlus for information regarding concerts (CSO), camps, lessons, classes (ArtsPlus), and other opportunities the CSO and ArtsPlus provide for email subscribers. Please answer the question below to consent to your contact information being shared with either administration. You are in no way obligated to agree to be added to these mailing lists. You may also opt in to one mailing list and not the other, should one option interest you more than the other!

Please visit both the CSO's and ArtsPlus websites for more information: 
Charlotte Symphony: https://www.charlottesymphony.org/ 
ArtsPlus: https://www.artsplus.org/ 

PLEASE NOTE: Should you decide later in the year that you would no longer like to receive communications from either organization, please email projectharmony@charlottesymphony.org and ask to be taken off these contact lists. 
Please select which organization(s) you consent to having your contact information shared with (select all that apply). *

CHARLOTTE SYMPHONY

First Citizens Bank Plaza
128 S. Tryon Street, Suite 350
Charlotte, NC 28202

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Monday-Friday | 9 am-5 pm

CONTACT US
Tickets: 704.972.2000
     704.372.1000
Administration: 704.972.2003
Fax: 704.972.2011
 
      
       

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