Instrumental Concert Information

1. Name of Organization
2. What status type is your group?

   Non-Profit For-Profit University of Utah Department
3. Contact Name
4. Contact Cell Phone
5. Contact Email
6. Billing Contact Name
7. Billing Cell Phone
8. Billing Email
9. Billing Address
10. City
11. State/Province Select State/Province: Utah Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming ----------------- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Islands Quebec Saskatchewan Yukon Territories ----------------- --- Not Applicable ---
12. Zip/Postal Code

1. Event Venue Requested

   Libby Gardner Concert Hall Thompson Chamber Music Hall Dumke Recital Hall Fine Arts West Recital Hall
2. Dress Rehearsal Date
3. Set Up Time
4. Start Time
5. End Time
6. Orchestra/Band Concert Date
7. Matinee Concert?

   Yes No
Set Up Time
Call Time
Concert Start Time
8. Evening Concert?

   Yes No
Set Up Time
Call Time
Concert Start Time

Note: There is an additional charge of $575 for use of Libby for a second concert the same day. This includes stage manager and all equipment. (3 hrs)

Minors Policy
9. Will there be any children, under the age of 18, participating in your concert?

   Yes No

If so, please be sure to register this concert with the University of Utah https://youthprotection.utah.edu/ as well as getting liability waivers signed by the parents, so that minors can participate. Please contact Marci Hutchinson at 801-581-4444 or marci.hutinson@utah.edu, if you have any questions about the University of Utah's Minors policy.

Equipment Needs
Select all that apply.

1. # of Chairs
2. # of Stands
3. Conductors podium and stand
Podium or stand only?
Both Podium and Stand Conductor's stand only Conductor's podium only
4. Cordless microphone on stand ($50 ea.)
# of microphones
5. Joyce T. Rice (Libby Green Room) 252
6. Sally R. Burbidge Band/Orchestra Room ($125)
7. Additional warm up room
# of Classrooms$75
# of Rehearsal rooms$125
8. Seated Platform Risers ($150)
# of chairs

# of 8" high

# of 16" high

# of 24" high

Describe the placement on stage in relation to Conductor's podium.

*** Note: Seated Risers require three stage managers at set up and tear down, each at $20 per hour.

9. Use of Celeste ($75)
10. Grand Piano
Piano Size Options
7' Steinway Grand Piano ($150.00) 9' Steinway Grand Piano ($250.00)
Describe the placement of the piano on stage in relation to choir and Conductor's podium.
Reception Information

Due to COVID-19 receptions will not be allowed until further notice.

Insurance Policy

1. By checking this box, I understand and verify the insurance policy for this performance.

1. At least one million dollars and aggregate limits of at least $2,000,000 per occurrence. This insurance policy should be endorsed to be primary and not contributing to any other insurance maintained by the University of Utah.

2. The University of Utah shall be named as an additional insured on the commercial general liability insurance policy by endorsement.

3. The University of Utah needs to be in the certificate holders’ box with the address: 201 S Presidents Circle, Rm 408 Salt Lake City, UT 84112

4. A copy of the liability insurance needs to be sent to the Facilities Coordinator verification.

Concert Recording Services
10. Do you want your concert recorded by the School of Music sound engineers?

    Yes No
11. Will you be using your own recording engineer to record your concert?

    Yes No

See the Recording Cost Information Sheet for more recording information and options.

1. Will the engineer be setting up before the dress rehearsal?

   Yes No
What time will your engineer need access to the hall to set up microphones, etc.?
2. Dress Researsal Set Up Time
3. Concert Set Up Time
4. When will the recording engineer need a sidewalk pass?
   Select all that apply.

   Prior to Dress Rehearsal Concert Set Up Time
License plate number for vehicle
State of License plate

1. Where will tickets be available for purchase?

Advanced Ticket Purchase Prices:

2. General Admission
3. Students/Seniors

Same Day Ticket Prices:

4. General Admission
5. Students/Seniors
6. Is there a different admission charge for the Matinee or are both concerts priced the same?

   Same prices Different prices
7. Will tickets be available to purchase at the door?

   Yes No
Will you need a buffet table in front of Libby Gardner Concert Hall for ticket sales?
Yes No
How many chairs do you need at the ticket table?
8. Will there be a "Will Call" for advanced tickets purchased?

   Yes No
Number of table(s) needed for ticket sales
Number of chair(s) needed for ticket sales

We can no longer provide parking during concerts in our loading dock. Our loading dock is to be used for load-in and load-out only.

1. Number of sidewalk passes needed(max 2, $15 per vehicle)
2. List each license plate number with state(max 2)
3. List each license plate number with state