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Musician Interest Form
Thank you so much for wanting to bring joy into the lives of older adults as they face social isolation. Please fill out this form to perform in a live stream. Performances will not be recorded or used for any other purpose.
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* Indicates required question
Your Name
*
Your answer
Your Instrument
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Are you over 18 years old
*
Yes
No
College/University
Your answer
Day you are available to perform
*
MM
/
DD
/
YYYY
Additional dates you are able to perform
Your answer
Times you are available to perform. Please select all that apply.
*
10:00 A.M. ET
12:00 P.M. ET
3:00 P.M. ET
5:00 P.M. ET
8:00 P.M. ET
Required
Time you are available for a sound check
*
9:00 A.M. ET
6:00 P.M. ET
9:00 P.M. ET
10:00 P.M. ET
Other:
Required
Day you are available for a sound check
*
MM
/
DD
/
YYYY
How long is your performance
*
30 minutes
45 minutes
1 hour
Are all of your pieces either in the public domain (published in 1924 or before) or original?
*
Yes
No
Please list your program (all the pieces you are performing). If unknown, please write unknown.
*
Your answer
Would you like your name or any other information shared with audiences?
*
Your answer
Do you need a record of time spent volunteering?
*
Yes
No
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