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Forms
Current Page:
Lecture Information
Lecture Information
Note: This form must be filled out for each event. This is not a contract for the use of the venue.
Event Information
Name of Organization or Event
What status type is your group?
Non-Profit
For-Profit
University of Utah Department
Contact Name
Contact Phone
(xxx-xxx-xxxx)
Contact Email
Billing Name
Billing Phone
(xxx-xxx-xxxx)
Billing Address
City
State/Province
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
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
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
----------
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Islands
Quebec
Saskatchewan
Yukon Territories
Zip/Postal Code
Lecture Date(s)
(MM/DD/YYYY)
Lecture Date
(MM/DD/YYYY)
Rooms being used for your event:
Libby Gardner Concert Hall
Green Room 252
Thompson Chamber Music Hall
Dumke Recital Hall
Green Room 402
Classroom 410
Registration/Check-In
Registration Start Time
(00:00 AM/PM)
Registration End Time
(00:00 AM/PM)
Will you need a registration table?
Yes
No
How many 6' registration tables?
How many 8' registration tables?
Where do you want check-in to be located?
How many chairs are needed at the buffet table?
Lectures
First Lecture Day
Date
(MM/DD/YYYY)
Set Up Time
(00:00 AM/PM)
Sound Check Time
(00:00 AM/PM)
Start Time of Lecture
(00:00 AM/PM)
End Time of Lecture
(00:00 AM/PM)
Breakout Rooms needed?
Yes
No
Breakout Rooms
Number of rooms needed?
Rooms need to hold
(# of people)
Start Time
(00:00 AM/PM)
End Time
(00:00 AM/PM)
Do you need AV equipment in the break-out rooms?
Yes
No
Will there be a meal break?
Yes
No
Will the meal be catered?
Yes
No
Caterer Information
Name of Caterer
Caterer Phone
(xxx-xxx-xxxx)
Caterer Email
Arrival Time of Caterer
(00:00 AM/PM)
Number of parking spots needed by caterer
(Limit 2)
Start of Meal
(00:00 AM/PM)
End of Meal
(00:00 AM/PM)
Will there be a Q and A session as part of the lecture?
Yes
No
Do you want cordless microphones on stands at the end of both aisles close to the stage?
Yes
No
Second Lecture Day
Date
(MM/DD/YYYY)
Set Up Time
(00:00 AM/PM)
Sound Check Time
(00:00 AM/PM)
Start Time of Lecture
(00:00 AM/PM)
End Time of Lecture
(00:00 AM/PM)
Breakout Rooms needed?
Yes
No
Breakout Rooms
Number of rooms needed?
Rooms need to hold
(# of people)
Start Time
(00:00 AM/PM)
End Time
(00:00 AM/PM)
Do you need AV equipment in the break-out rooms?
Yes
No
Will there be a meal break?
Yes
No
Will the meal be catered?
Yes
No
Caterer Information
Name of Caterer
Caterer Phone
(xxx-xxx-xxxx)
Caterer Email
Arrival Time of Caterer
(00:00 AM/PM)
Number of parking spots needed by caterer
(Limit 2)
Start of Meal
(00:00 AM/PM)
End of Meal
(00:00 AM/PM)
Will there be a Q and A session as part of the lecture?
Yes
No
Do you want cordless microphones on stands at the end of both aisles close to the stage?
Yes
No
Stage Equipment Needs
Speaker's Podium with microphone? ($150)
Yes
No
Describe placement of podium on stage.
Cordless microphone on stand? ($50 ea.)
Yes
No
# of microphones
Will you need chairs placed on stage for lecturers?
Yes
No
How many?
Where do you want the chairs place in relation to the speaker's podium?
Will there be any change in stage needs for the second day?
Yes
No
AV Equipment
Libby Gardner Concert Hall does not have AV equipment.
The School of Music can rent AV equipment through the University of Utah Teaching and Learning Technologies (TLT), and have it delivered and set up.
Screens
What size of screen do you need?
Standard 52" x 70" - Digital Learning
Large 10' x 10' Screen - Digital Learning
# of screens needed
Projectors
Please let us know what you are wanting to project and the size of audience you are anticipating.
Please let us know if your event has any other needs.
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Last Updated: 9/6/22
