subject_line
Kimmel Cultural Campus
Virtual Program Registration
Thanks for your interest in our virtual events. To register, please fill out all fields in this form. You will receive an email with a link to the program within one week of registration (or program release). For questions email
Education@Kimmelcenter.org
Program Release Schedule
Jazz4Freedom
: Available now
#PhillyBeatz
: Available now
Grow Up Great
: Available now
Which program(s) would you like to view?
*
Jazz4Freedom (Virtual Field Trip: Recommended for 4th-6th grade)
#PhillyBeatz (Virtual Field Trip: Recommended for 4th-6th grade)
Grow Up Great (Virtual Family Event: Preschool & Families)
First Name
*
Last Name
*
Title
Email Address
*
Phone Number
Your School Name (please use the long version)
*
School Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
School Type
*
Philadelphia School District
Charter School
Archdiocese/Independent Mission
Homeschool
Other
Other
How many students will view the virtual event?
*
What grade(s) are the students who will view the virtual event?
*
Anything else you'd like us to know?
Powered by