Rhythm on the Road 2026-2027 Registration Form InstagramThis field is for validation purposes and should be left unchanged.School InformationSchool Name(Required)School Phone(Required)County(Required)School District(Required)Name & Email of District VPA/Fine Arts Administrator(if applicable)Is Your School a Title 1 School?(Required) Yes No Contact Teacher InformationName(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Email(Required) Phone(Required)Day-of Phone(Required)To reach you via text/call for urgent matters on the day of events.I am a(n)(Required)Music TeacherClassroom TeacherBand DirectorOrchestra DirectorChoir DirectorPrincipalAssistant PrincipalOtherDedicated Music TeacherIf your school has a dedicated music teacher(s) other than the listed contact teacher, please enter their name and email.OKCPHIL Rhythm on the Road Visits (in-school duet performance)Physical School Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please enter any parking/location instructions necessary for our drivers.(Required)How many students will attend the OKCPHIL Rhythm on the Road duet visit?(Required)How many teachers and/or chaperones will attend the OKCPHIL Rhythm on the Road duet visit?(Required)Grade(s) attending the OKCPHIL Rhythm on the Road duet visit(Required) Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Other (please specify in comment box below) Enter Grade Level (Other)(Required)Scheduling instructionsPlease specify THREE date/time options for the visit below. The visit can take place any time within your school year. ALL duet Visits include a performance of a range of musical styles and a chance for your students to ask questions. Performances are typically 50 minutes long, but modifications may be possible upon request.Date Request #1(Required) MM slash DD slash YYYY Time (for Date Request #1)(Required) Hours : Minutes AM PM AM/PM Date Request #2 MM slash DD slash YYYY Time (for Date Request #2)(Required) Hours : Minutes AM PM AM/PM Date Request #3 MM slash DD slash YYYY Time (for Date Request #3)(Required) Hours : Minutes AM PM AM/PM I agree to send student-written thank you notes to the donors who made this program possible.(Required) I agreeAny questions or comments about OKCPHIL Ensemble Visits?
