COVID Music Building Practice Room Authorization Form
                               ๐—ฆ๐—๐—ฆ๐—จ ๐—ฆ๐—ฐ๐—ต๐—ผ๐—ผ๐—น ๐—ผ๐—ณ ๐— ๐˜‚๐˜€๐—ถ๐—ฐ & ๐——๐—ฎ๐—ป๐—ฐ๐—ฒ ๐—™๐—ฎ๐—ฐ๐—ถ๐—น๐—ถ๐˜๐˜† ๐—”๐—ฐ๐—ฐ๐—ฒ๐˜€๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—ฆ๐˜๐˜‚๐—ฑ๐—ฒ๐—ป๐˜๐˜€
 
Permission to enter Music and Dance instructional spaces are determined on a case-by-case basis.  All students must read, consider, and agree to the following guidelines before permission to enter the facility may be granted. All guidelines must be followed in order to keep yourself and others safe during the COVID-19 Pandemic.

๐‘ญ๐’‚๐’Š๐’๐’–๐’“๐’† ๐’•๐’ ๐’„๐’๐’Ž๐’‘๐’๐’š ๐’˜๐’Š๐’๐’ ๐’“๐’†๐’”๐’–๐’๐’• ๐’Š๐’ ๐’•๐’‰๐’† ๐’“๐’†๐’—๐’๐’„๐’‚๐’•๐’Š๐’๐’ ๐’๐’‡ ๐’š๐’๐’–๐’“ ๐’‡๐’‚๐’„๐’Š๐’๐’Š๐’•๐’š ๐’‚๐’„๐’„๐’†๐’”๐’”.

๐—š๐˜‚๐—ถ๐—ฑ๐—ฒ๐—น๐—ถ๐—ป๐—ฒ๐˜€
DO NOT PROP OPEN DOORS OR LEAVE WINDOWS OPEN/UNLOCKED!!! Please close the door behind you when entering and leaving the building. Close and lock all windows when leaving the facility.

         ๐€๐ซ๐ž ๐ฒ๐จ๐ฎ ๐ฌ๐ข๐œ๐ค?    If you have a cough or fever, you are not allowed to enter the facility.
         ๐Š๐ž๐ž๐ฉ ๐ฒ๐จ๐ฎ๐ซ ๐๐ข๐ฌ๐ญ๐š๐ง๐œ๐ž!   Maintain a minimum 6-foot distance between yourself and others.
                 If you feel a sneeze coming on, please sneeze into a cloth or a tissue. If you donโ€™t have one, sneeze into your elbow. Please donโ€™t shake hands or engage in any unnecessary physical contact!
         ๐–๐š๐ฌ๐ก ๐ฒ๐จ๐ฎ๐ซ ๐ก๐š๐ง๐๐ฌ ๐Ÿ๐ซ๐ž๐ช๐ฎ๐ž๐ง๐ญ๐ฅ๐ฒ ๐ฐ๐ข๐ญ๐ก ๐ฌ๐จ๐š๐ฉ ๐š๐ง๐ ๐ฐ๐š๐ญ๐ž๐ซ for at least 20 seconds or use an alcohol-based hand sanitizer if soap and water are not available.
          ๐–๐ž๐š๐ซ ๐š ๐Ÿ๐š๐œ๐ž ๐ฆ๐š๐ฌ๐ค ๐ฐ๐ก๐ž๐ง ๐ž๐ง๐ญ๐ž๐ซ๐ข๐ง๐  ๐ญ๐ก๐ž ๐Ÿ๐š๐œ๐ข๐ฅ๐ข๐ญ๐ฒ. Face coverings help to limit the spread of potentially infectious droplets.
                    Avoid touching your face and mask to avoid potential transmission.
         ๐–๐ž๐š๐ซ ๐ ๐ฅ๐จ๐ฏ๐ž๐ฌ ๐›๐ž๐Ÿ๐จ๐ซ๐ž ๐ž๐ง๐ญ๐ž๐ซ๐ข๐ง๐  ๐ญ๐ก๐ž ๐Ÿ๐š๐œ๐ข๐ฅ๐ข๐ญ๐ฒ to protect yourself and others.
         ๐–๐ข๐ฉ๐ž ๐๐จ๐ฐ๐ง ๐ฌ๐ฎ๐ซ๐Ÿ๐š๐œ๐ž๐ฌ ๐จ๐Ÿ ๐ข๐ง๐ฌ๐ญ๐ซ๐ฎ๐ฆ๐ž๐ง๐ญ๐ฌ ๐›๐ž๐Ÿ๐จ๐ซ๐ž ๐š๐ง๐ ๐š๐Ÿ๐ญ๐ž๐ซ ๐ฒ๐จ๐ฎ ๐ฆ๐š๐ค๐ž ๐œ๐จ๐ง๐ญ๐š๐œ๐ญ. Disinfecting wipes are provided around the facility.
          ๐—”๐—ฐ๐—ฐ๐—ฒ๐˜€๐˜€ ๐˜๐—ผ ๐˜๐—ต๐—ฒ ๐—ณ๐—ฎ๐—ฐ๐—ถ๐—น๐—ถ๐˜๐˜† ๐—ถ๐˜€ ๐—ด๐—ฟ๐—ฎ๐—ป๐˜๐—ฒ๐—ฑ ๐—ณ๐—ผ๐—ฟ ๐—ฎ ๐—น๐—ถ๐—บ๐—ถ๐˜๐—ฒ๐—ฑ ๐—ฎ๐—ป๐—ฑ ๐˜€๐—ฝ๐—ฒ๐—ฐ๐—ถ๐—ณ๐—ถ๐—ฐ ๐—ฝ๐—ฒ๐—ฟ๐—ถ๐—ผ๐—ฑ ๐—ผ๐—ณ ๐˜๐—ถ๐—บ๐—ฒ.
                   Minimize exposure by minimizing the time you need to spend in the facility. Plan what you need to do before attempting to enter the facility.
           ๐‘น๐’†๐’‘๐’๐’“๐’• ๐’‚๐’๐’š๐’๐’๐’† ๐’Š๐’ ๐’•๐’‰๐’† ๐’‡๐’‚๐’„๐’Š๐’๐’Š๐’•๐’š ๐’˜๐’‰๐’ ๐’…๐’๐’†๐’” ๐’๐’๐’• ๐’‚๐’…๐’‰๐’†๐’“๐’† ๐’•๐’ ๐’•๐’‰๐’†๐’”๐’† ๐’ˆ๐’–๐’Š๐’…๐’†๐’๐’Š๐’๐’†๐’”.


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I understand, accept, and agree to the following terms and conditions that apply to my access to, and use of, the Music Building and/or Dance Studios. *
Required
Student Name *
Student ID *
Student Email *
Name of Applied Instructor *
Have you paid your Music Use Fee? *
Music Use Fee Receipt Number *
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