Return Correspondence to Fresno State Department of Music
MAIL - 2380 E. Keats Ave. MS-MB/77, Fresno, CA 93740-8024; FAX - 559/278-6800; EMAIL smcguire@csufresno.edu
California State University, Fresno DEPARTMENT OF MUSIC College of Arts and Humanities
Facility Reservation Form
Degree Recitals
THIS FORM IS DUE 15-DAYS AFTER RECEIPT
Incomplete forms will not be accepted.
STUDENT NAME: _____________________________________________________ ID#__________________________________________
EMAIL: ______________________________________________________________ PHONE #: ___________________________________
Check Appropriate Boxes Below:
Undergraduate
Graduate
Conducting
Jazz Performance
Music Education
Performance
INSTRUMENT/VOICE: ______________________________________ STUDIO PROFESSOR: _________________________________
Recital Details
DAY
OF THE WEEK
DATE
START TIME
CH M126
Concert Hall
WRH M183
Wahlberg Recital Hall
OTHER
Please state
Check Box for Appropriate Hall
Day
Date
Time
Location
Hearing:
Dress Rehearsal:
RECEPTION:
$50
YES
NO
Assistant required for all receptions in building.
Completion of University Food Service Form required.
No Exceptions (see reverse)
___________________________________________________________________________________ ________________________
Student’s Signature Date
Faculty Approval for Event
- REQUIRED -
____________________________________ ____________________________________________________________ ______________
Faculty Name
(Print) Faculty Signature Date
All signees acknowledge and will comply with all policies and regulations established by California State University, Fresno.
http://www.csufresno.edu/hr/policies/MAPP/III/D/D-08.pdf
You will receive a separate Technical Specification Form
- For Office Use Only –
Zimbra Check
R25 - Entry
Copy To Tech
Food Waiver
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signature
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Technical Specification Form
Degree Recitals
___Concert Hall, ___Wahlberg Recital Hall
Name _______________________________________
Due Date__________________
Date of Event____________ Start Time: ________
Email__________________
If no form is turned in 2 weeks prior to your event, you will receive Basic Services Only.
Additional Services
Please check the following requests
Talkback Microphone(s) QTY: _____ Wireless [3 available],
*For additional microphones please select Sound Reinforcement option in Audio/Visual Services
_CD Playback, _Cassette Playback, _Laptop/MP3 Playback (Audio Only)
Basic White Wash Stage Lighting
_ Full Stage, _ Medium Stage, _ Solo Recital
Event Recording (CD/DVDs will be available within 14 days of the performance)
_ Audio _Video
*Audio and Video Recording is included with the $100 course fee. $100.00
Instruments/Equipment Requirements
Please check the following requests
Concert Hall Piano: 9' Yamaha _ , 9' Steinway _
Wahlberg Piano: 7; Yamaha _
Organ _ (Concert Hall Only); Harpsichord _
Chairs-150 available Qty:________ Tables QTY: 6' ______, 4' ______
Music Stands-60 available Qty:________
Choral Risers-8 available Qty:________
Platform Risers-13 available Qty:8''_____/16''_____/24''_____
Podium/Lectern _
Podium Microphone _
Audio/Visual Services
Please check the following requests
Sound Reinforcement _ (requires an audio engineer/mixer)
*Please include a typed sheet regarding sound reinforcement specifics.
Video Projector and Projector Screen _
$5…Additional CD Copies QTY: _____ $ _________
$10...Additional DVD Copies QTY: _____ $ _________
Total Fee Due $ _________
Terms of Agreement and additional information on back
California State University, Fresno Department of Music
Terms of Agreement
1. All forms must be turned in 30 Days prior to Event.
2. Any late request made within the 2 weeks prior to the event needs to be approved by
the Technical Director.
3. Cancellation of event must be submitted 2 weeks prior to the event to avoid paying
Facility Charges. (Booking Fees and Staff Fees)
4. Groups using these facilities will be responsible for set-up and tear-down of music
stands and chairs for their event, clearing all items from the backstage area, or as
negotiated with the Technical Director.
5. Additional fees will be assessed by the Technical Director for damage of equipment
and/or debris left in any area of the facility.
6. All Audio and Video Recordings are meant exclusively for educational purposes. It may
not be: a.) Duplicated and/or sold in any form; b.) Posted in full or part on any online
server, including social media and other video postings sites such as Vimeo, YouTube,
Facebook, or any similar service; c.) Transmitted electronically in any fashion
ANY CHANGES MUST BE APPROVED AT LEAST 2 WEEKS BEFORE THE EVENT
I have read the Terms of Agreement and will adhere to the terms as stated. I also agree
to comply with all policies and regulations established by California Sate University, Fresno:
Name (Print)_________________________________ Phone_______________
Signature___________________________________ Date________________
Please direct any questions and return this form to:
Jerry Phanthamany email thejerrbear@mail.fresnostate.edu
California State University, Fresno
Department of Music
2380 E. Keats Ave. M/S MB77
Fresno, CA 93740-8024
Technical Director: Jośe Garza, email jogarza@csufresno.edu
PLEASE ATTACH A DETAILED DIAGRAM OF YOUR STAGE SET-UP
Additional information or request(s), please use space below
For Technical Support Only
Time In: _______ Event Start Time ________ Time Out: ________ Guest Count: ______
Please provide a list of items they requested that wasn't on the form.
Were there any conflicts or problems: Yes No
Please email José with concerns or questions immediately after the concert/event
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