THE UCLA HERB ALPERT SCHOOL OF MUSIC
GLUCK FELLOWS MUSIC PERFORMANCE PROGRAM
2009-2010

 

 

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Department of Music * Box 951616 * Los Angeles, CA 90095-1616 * (310) 825-8628 * (310) 206-4738--fax * musicoutreach@arts.ucla.edu


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PERFORMANCE REQUEST 2009-2010
XXXXXXXXXXXXXXXXXXXXWhen completed, please click "Submit" at bottom of form

Site Name:

Site Description (School, Nursing Home, etc.):

Address:

City: State: Zip:

Site Phone: - - Fax: - -

Contact Name:

Contact Phone: - - Email:

Requested Date(s) or general time frames*: Times:

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Performance Space Description:

Equipment Loading Specifications:

Piano: Yes No (Check yes or no). If yes, check Upright Grand -- Date of last tuning

Anticipated audience size: Reason for Performance:

Please provide a brief description of your goals for a Gluck Fellows performance (i.e., how you feel the music will impact
your program; how you expect the music to benefit the audience, etc.)

*Performances may not be used for benefits, fundraisers, or other social functions where the performers are not
the primary focus of the audience.

*Please include proof of non-profit status with application.

**While every effort will be made to satisfy your request, not all performance dates/times can be accommodated.
The wider therange of requested dates you provide, the easier it becomes to coordinate a performance date
with the musicians. Performances will run November, 2009 through May, 2010.

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