Virtual Concert Submission Form
Thank you for your interest in participating in this Virtual Concert Series.

**Please note: this virtual concert will be posted on YouTube and shared with our partner organizations who serve senior citizens, those who are developmentally disabled, isolated pediatric patients & low-income adults.

Your willingness to participate and share your gift of music is greatly appreciated!

If you have any questions, please contact us at info@artoftheheartmusic.org
First Name *
Last Name *
Preferred Name (Optional)
Participant Email Address *
Participant Phone Number (Optional)
City *
State/Territory *
Type "N/A" if not applicable.
Country *
School Attending *
Grade in School *
What is the name of your piece? *
Who is the Composer of your piece? *
Please upload your video to either Google Drive or One Drive and paste the shareable link to your video below. *
Be sure your video is set to "Anyone with the link can edit" so that we are able to download your video submission. Also, try not to delete your online video file after sending us the link as the link will then become inactive. Finally, please do not send us duplicate performances—duplicate performances will not receive more than one submission's worth of service credit.
If you wish to receive service credit for your participation in our virtual concert series, please provide the date you recorded your performance. We will not be able to approve service credit requests without this information. *
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By signing your name below, you confirm that you give us, Art of the Heart, permission to publish your video submission as part of the Art of the Heart Virtual Concert Series which will be shared with outside organizations serving senior citizens, those who are developmentally disabled, isolated pediatric patients & low-income adults. *
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