YOLA Form

P1: Registrant Information
1. Please enter your information
Full Name: *

First Name Last Name

Address: *

Street Address
Street Address Line 2
City	State/Province
Zip Code	Country

Email: *
Organization *
Phone Number *

Area Code Phone Number
Organization Type (check all boxes that apply) *

El Sistema-inspired program Arts program Youth Orchestra program Professional Orchestra Summer music festival / program Youth development program School and/or school district College / University Performing Arts Center Local / state government Foundation Individual
How long has your organization been in operation?
Title (check all boxes that apply) *

Teacher Teaching Artist Program Coordinator Program Manager Program Director Program Executive (ED, CEO, etc.) Musician Teaching Artist Board Member Philanthropist
Gender *

Male Female Transgender female Transgender male Non-conforming Not listed Prefer not to disclose
Ethnicity (check all boxes that apply) *

White Black or African American Hispanic or Latinx Native Hawaiian or Other Pacific Islander Asian American Indian or Alaskan Native Prefer not to disclose
2. Additional Information
Dietary Restrictions (check all boxes that apply)

Vegan Vegetarian Gluten free None
Do you need ADA assistance?
If yes, please specify
Have you attended a Take a Stand or YOLA Symposium in the past?
If yes, which year? (check all boxes that apply)

2007 2010 2012 2013 2014 2015 2017 2018
3. Emergency Contact Information
Full Name of Emergency Contact *

First Name Last Name
Relationship to attendee *
Email *
Phone Number *

Area Code Phone Number
P2: Event Reservations
YOLA National Festival Concert: Registration includes a complimentary ticket to the YOLA National Festival Orchestras Performance on Friday July 26, 2019 at 7:00pm at Walt Disney Concert Hall? Would you like to reserve a ticket? *
Hollywood Bowl Concert: Registration includes a complimentary ticket for “Dudamel and Yuja Wang” at 8:00pm on Thursday July 25, 2019 at the Hollywood Bowl. Would you like to reserve a ticket? *
If you plan to attend the Hollywood Bowl Concert, bus transportation will be provided. Would you like to RSVP for transportation? *
P3: Accommodations
Shared Accommodations: We understand that for some traveling to and from the symposium, cost can be a barrier. Would you like to be connected with other attendees who may be interested in sharing a room to alleviate cost?
P4: Scholarship
Teaching Artists and program staff are eligible to apply for travel scholarships. Please indicate below if you plan to apply for a scholarship. (Scholarship applications will open on Friday, May 24) *
P5: Acknowledgement
Photo/video release *

I grant to Los Angeles Philharmonic, its representatives, and employees the right to take photographs of me and my property during the YOLA National Symposium (July 24-27, 2019). I agree that Los Angeles Philharmonic may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.
P6: Organization Affiliation
My organization is a member of El Sistema USA *

Yes No I don't know
If yes, please choose your organization from the list of El Sistema USA Member
Should be Empty:

P1: Registrant Information

1. Please enter your information

2. Additional Information

3. Emergency Contact Information

P2: Event Reservations

P3: Accommodations

P4: Scholarship

P5: Acknowledgement

P6: Organization Affiliation