Performance Proposal Form
Please note: This form is for review by the Performance Advisory Group and the Event Management Office for the coordination of campus performances. Completion of this form does not guarantee your event. A confirmation will follow if approved.
1. Please enter your Event Management reference number: *
(Before requesting PAG assistance, you must inform the Event Management Office of your intended venue and receive a reference number from them.)
Your answer
2. Do you have a confirmed venue?
(If Yes, email confirmation to pag@middlebury.edu.)
3. Preferred performance date:
Your answer
2nd choice date:
Your answer
4. Performance Time
Your answer
5. Performance Venue
Your answer
6. Performance title:
Your answer
7. Performance description:
Your answer
8. Is this performance part of or sponsored by a credit-bearing academic course?
9. Category:
10. Sponsoring organization(s):
Your answer
11. FOAPAL for associated charges:
Your answer
12. Budget amount for tech:
Your answer
13. Outside/professional artist(s):
(If Yes, an artist-supplied Technical Rider must be emailed to pag@middlebury.edu.)
14. Can you provide transportation for technical equipment and personnel?
(Transportation is often required. Ideally, the organizer has access to a vehicle. If not, Facilities can provide transportation for a fee of about $30 per hour. However, they require 10 days advance notification and only work on weekdays until 3:30 pm.)
If No, would you like to request transportation from Facilities?
15. Set-up/load-in time:
Your answer
16. Sound check time:
Your answer
17. Anticipated rehearsal needs if any:
(To be coordinated through the Event Management Office.)
Your answer
18. Anticipated attendance:
Your answer
20. Planning contact name: *
Your answer
Planning contact phone: *
Your answer
Planning contact email: *
Your answer
21. Performance host name:
(Must be present from set-up through end of performance. This individual will be the primary contact for technical staff, crowd managers, and Public Safety. Hosts must be at the event, sober, available at all times, and may not be a performer.)
Your answer
Performance host phone:
Your answer
Performance host email:
Your answer
22. Other considerations:
(Although not the purview of the Performance Advisory Group--and to be coordinated through the Event Management Office--the following information assists in overall understanding of the event. Please check all that apply.)
23. In signing this agreement I agree to take full responsibility for the event and its participants. I understand there may be additional terms and regulations required for performance approval and/or by the assigned venue. *
(Sign with contact name and date of form submission.)
Your answer
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