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Section 1 of 5
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Yes, all artists are vaccinated
No (you'll be prompted for more info)
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Section 2 of 5
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Artist has a valid medical or religious exemption
Artist has chosen not to get the vaccine for personal reasons. I will immediately contact Allison (802-488-4361) immediately to follow-up.
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Section 3 of 5
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1.
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Yes, with conditions (you'll be prompted for more info)
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No
4.
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Section 4 of 5
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Password/Pay wall required to view
Please take down from the web after 72 hours
Live stream only at time of performance (no extended replay)
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Section 5 of 5
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Provide Middlebury with a video for streaming (it can be new or a recent broadcast)
Reschedule the performance for later this season (April or May 2022 possible)
Reschedule the performance for another season
Cancel the engagement
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Yes
No (please still submit, but then call Allison at 802-488-4361)
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Artist/Ensemble Name
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Are the artist or all members of the ensemble vaccinated?
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If yes, please attach a copy of vaccination proof (for each member--multiple files allowed) or email to carroll@middlebury.edu
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If no vaccination:
If not vaccinated, Middlebury College requires a valid medical or religious for exemption from vaccination, and that the artists wear face coverings at all times while on campus.
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Live streaming:
Even with safety measures such as required vaccination and mask wearing, some of our audience members would feel safer at home. We hope you will collaborate with us and help make streaming possible for these patrons. Do we have your permission to live stream the performance?
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Live stream conditions:
What conditions do you have for the live stream? Check all that apply.
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Contingency planning:
If state, local, campus or health policies are suddenly updated and we're no longer able to present you live in Middlebury, which of the following would you be able to provide? If this is deemed necessary, we will follow-up as soon as possible, but this simply gives us a sense of your preference. Please check all that apply.
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Name of person completing questionnaire
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Preferred phone number for follow-up
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By checking yes below, I have the authority to complete this questionnaire on behalf of the artist(s), and they will be directly part of the conversation if any contingencies come to pass.
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