Concert Reservations Request – Department of Music

Instructions You must have the approval of your studio instructor and collaborative pianist before completing this form. They will be included in the confirmation email from the multi-media specialist. Students are programmed on a first come, first served basis and will receive confirmation at least one week prior.
Primary Performer - Instrument/Voice Type (e.g., John Doe - Viola) *
Other Performer(s) - Instrument/Voice Type
Email *
Phone
Date Submitted *
Event Date *
Collaborative Pianist *
Collaborative Pianist Email *
Title of Piece (with movements) *
Composer *
Dates of Composer *
*Exact* length of piece *
Studio Instructor *
Studio Instructor Email *
Number of Stands Needed
Number of Chairs Needed
Piano lid: *
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Have you performed on Student Recital this semester? If yes, how many times?