| School Name: |
|
| School Mail Address: |
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| School Phone: |
|
| Fax Number: |
|
| Please indicate your three possible performance dates and times, in order of preference: |
| 1st choice: |
Day of week:
|
Date/Month/Year:
|
Start Time:
|
| 2nd choice: |
Day of week:
|
Date/Month/Year:
|
Start Time:
|
| 3rd choice: |
Day of week:
|
Date/Month/Year:
|
Start Time:
|
| Name/phone/email of person signing contract and responsible for payment: |
|
Name/phone/email of contact person on performance day
(person
to provide 4-wheel dolly, direct musicians to space, find outlets, set
up slide screen, etc.) |
|
| Performance Location |
auditorium
cafeteria gym
music room
multi-purpose room
other
|
| Audience-number of students/grades: |
|
| Type of Piano: |
grand
upright
|
| Size/style of slide screen |
|
| How did you hear about Jazzistry? |
Michigan Arts & Humanities Touring Guide
Wenu Semja Pto
principal
another school
other
|
