Educational Concert Program

EDUCATIONAL CONCERT PROGRAM

Event Information

Event Title:

Event Date: Start Time: Venue:

Presenting Department / Ensemble:

Student / Performer Information

Program Order & Repertoire

List the performance order below. Include title, composer/arranger, performing student(s), and approximate duration. Use additional pages if necessary.

Personnel and Roles

Conductor / Director:

Technical & Production Requirements

Indicate the production and technical needs for the performance. Where fees or external rentals are required, the presenting department is responsible for costs unless otherwise agreed in writing.

Microphone requirements: Vocal/Mic Instrument DI/Amps Ensemble Mics

Permission, Release, and Acknowledgements

Participation Consent

By signing below, I grant permission for the student named above to participate in the activity described in this Educational Concert Program. I acknowledge that participation requires adherence to rehearsal schedules, dress code, and the code of conduct established by the presenting department. The presenting department reserves the right to remove any participant whose conduct jeopardizes safety or the educational objectives of the program.

Media Release

I authorize the presenting department to photograph and record the student during rehearsals and the performance for educational, archival, and promotional purposes. I understand that recorded media may be edited, reproduced, and distributed without further consent or compensation. If selecting refusal, mark "Decline" below.

Consent Decline

Emergency Medical Authorization

In the event of an emergency, I authorize the presenting department to seek emergency medical care for the student. I agree to be responsible for costs associated with such care. If refusing authorization, mark "Decline" below (refusal may restrict participation).

Consent Decline

Copyright and Program Printing

The presenting department will print program materials for distribution. The undersigned certifies that performance of the listed repertoire does not infringe copyright and that all necessary performance and printing permissions and licenses have been obtained. The presenting department reserves the right to remove or alter any repertoire found to be unlicensed.

Administrative & Fee Information

Ticketing and any participation fees will be administered by the presenting department. Fees, if applicable, are required prior to public performance and are non-refundable except as expressly permitted by departmental policy.

Acknowledgment

I have read and understand the policies and requirements contained in this Educational Concert Program. I agree to ensure the student complies with rehearsal and performance responsibilities, attire guidelines, and any travel or logistical instructions issued by the presenting department. I release the presenting department and its agents from liability for incidental loss or damage to personal property and understand that participation carries inherent risks.

Is the student a minor?

Yes No

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