Music for All 2016 Name of Site: Name of Contact Teacher: Address: Street: City: Zip code: Phone number: E-mail: 1. Would your school be interested in hosting more than one group? Yes No If Yes, how many? 2. What is the age and grade level of the intended student audience or audiences?* (*Please keep in mind that Music for All performances are designed for groups of no more than 30-40 students and should be presented in a classroom setting and not in an auditorium) 3. What is the level of musical knowledge and listening background of the student audience? 4. Please give specific times of day that a group (or groups) would be able to visit your classroom. On Wednesday, March 16, 2016 groups are available all morning through 12:30. On Thursday, March 17, groups are available starting at noon. Please also indicate the grade level for each performance time. 5. Please describe your performance space: 7. Are there any stairs leading to the school or performance space? Is the venue wheelchair-accessible? 8. Please indicate the equipment you can provide: Chairs without arms Music stands Recently-tuned upright piano Recently-tuned grand piano 9. Do your students have any special needs or requirements? 10. Please indicate the approximate travel distance and time from downtown Rochester to your site: miles or minutes Please complete this form and send by email to Petar Kodzas pkodzas@esm.rochsester.edu by Friday, January 8, 2016. Alternatively you might send via mail to: Eastman School of Music Petar Kodzas, Coordinator, Music for All 26 Gibbs Street, Rochester, New York 14604