VIP Red Carpet Event - Jazz Ensemble

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PERSONAL INFORMATION

Student's First Name*

Student's Last Name*

Student's Preferred Name or Nickname

Student's Birthdate*

Student's Email Address*

Student's Mobile Phone Number*

Does Gettysburg College have your permission to use this phone number to call or text you?

Yes

No

Student's Mailing Address*

Country

Street

City

Region

Postal Code

Is this mailing address different from your home address?*

Yes

No

Student's Home Address

Country

Street

City

Region

Postal Code

GUESTS TRAVELING TO CAMPUS WITH YOU

Guest 1

Guest 1 Relationship*

Guest 1 First Name*

Guest 1 Last Name*

Guest 1 Mobile Phone Number*

Guest 1 Email Address*

Guest 2

Guest 2 Relationship*

Guest 2 First Name*

Guest 2 Last Name*

Guest 2 Mobile Phone Number*

Guest 2 Email Address*

Guest 3

Guest 3 Relationship*

Guest 3 First Name*

Guest 3 Last Name*

Guest 3 Mobile Phone Number*

Guest 3 Email Address*

Guest 4

Guest 4 Relationship*

Guest 4 First Name*

Guest 4 Last Name*

Guest 4 Mobile Phone Number*

Guest 4 Email Address*

Guest 5

Guest 5 Relationship*

Guest 5 First Name*

Guest 5 Last Name*

Guest 5 Mobile Phone Number*

Guest 5 Email Address*

Will you need special accommodations (e.g., mobility, dietary) while visiting?*

Yes

No

What accommodations will you need?

Will you or any of your guests need special accommodations (e.g., mobility, dietary) while visiting?*

Yes

No

What accommodations will you need?

EVENT PROGRAMMING

Would you like to attend the following events as part of this VIP Red Carpet Concert Experience?

A backstage, all-access tour of the historic Majestic Theater beginning at 4:00 PM

Yes

No

Dinner with a current student music ambassador

Yes

No

A special backstage welcome with the concert conductor

Yes

No

Reserved seats for the concert

Yes

No