Student Performance Series Form

Your Name

Email Address

Length of Performance

Date and Location

All SJU performances will be in the SBH theater. All CSB performances will be in the Recital Hall.

List each piece you will perform with name of work and composer/arranger. Please make sure to write the full names of the composers.

(e.g. Prelude in D-flat Major, Op. 28, No. 15, Frédéric Chopin)

Performer(s) - list respective instrument(s) or voice part(s)

(e.g. Bennie Blazer - clarinet, Johnnie Rat - tenor)

Accompanist

How many stands do you need?

How many chairs do you need?

What height do you want the piano lid at?

	No stick (piano lid all the way down)
	Half Stick
	Full Stick

Studio Instructor

Has your studio instructor approved this performance?

	Yes
	No

Preferred Placement in Program*

Do you need to go first? Last? *These are only requests!* Reason

*Please provide your own page turner for your performance if applicable

Dr. Amy Grinsteiner
Chair, Music Department

CSB BAC A119
320-363-5717

SJU Music 106
320-363-3375

Music