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Section 1 of 5
COVID-19 Questionnaire/Rider for Visiting Artists
As you can imagine, the Delta variant is impacting Middlebury College policies on campus visitors.  At this time, department-sponsored visitors (such as our series artists) will be welcomed. But we may need to pivot at a moments' notice, so I'd love to explore some scenarios below.

As of today, all artists must provide proof of vaccination (or have a medical/religious exemption) before traveling to Middlebury, and must wear a mask at all times (when not performing) while on campus.

Thanks for your consideration!
Allison Coyne Carroll, Middlebury Performing Arts Series director
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Artist/Ensemble Name
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Are the artist or all members of the ensemble vaccinated?  
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Yes, all artists are vaccinated
No (you'll be prompted for more info)
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add "Other"
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If yes, please attach a copy of vaccination proof (for each member--multiple files allowed) or email to carroll@middlebury.edu 
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Section 2 of 5
If no vaccination:
If not vaccinated, Middlebury College requires a valid medical or religious for exemption from vaccination, and that the artists wear face coverings at all times while on campus.  
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Artist has a valid medical or religious exemption
Artist has chosen not to get the vaccine for personal reasons. I will immediately contact Allison (802-488-4361) immediately to follow-up.
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add "Other"
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Section 3 of 5
Live streaming:
Even with safety measures such as required vaccination and mask wearing, some of our audience members would feel safer at home. We hope you will collaborate with us and help make streaming possible for these patrons.  Do we have your permission to live stream the performance?
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1.
Yes
2.
Yes, with conditions (you'll be prompted for more info)
3.
No
4.
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Section 4 of 5
Live stream conditions:
What conditions do you have for the live stream? Check all that apply.
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Password/Pay wall required to view
Please take down from the web after 72 hours
Live stream only at time of performance (no extended replay)
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Section 5 of 5
Contingency planning:
If state, local, campus or health policies are suddenly updated and we're no longer able to present you live in Middlebury, which of the following would you be able to provide? If this is deemed necessary, we will follow-up as soon as possible, but this simply gives us a sense of your preference. Please check all that apply.
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Provide Middlebury with a video for streaming (it can be new or a recent broadcast)
Reschedule the performance for later this season (April or May 2022 possible)
Reschedule the performance for another season
Cancel the engagement
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Name of person completing questionnaire
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Preferred phone number for follow-up
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By checking yes below, I have the authority to complete this questionnaire on behalf of the artist(s), and they will be directly part of the conversation if any contingencies come to pass.
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No (please still submit, but then call Allison at 802-488-4361)
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add "Other"
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Artist/Ensemble Name
Copy
No responses yet for this question.
Are the artist or all members of the ensemble vaccinated?  
Copy
No responses yet for this question.
If yes, please attach a copy of vaccination proof (for each member--multiple files allowed) or email to carroll@middlebury.edu 
No responses yet for this question.
If no vaccination:
If not vaccinated, Middlebury College requires a valid medical or religious for exemption from vaccination, and that the artists wear face coverings at all times while on campus.  
Copy
No responses yet for this question.
Live streaming:
Even with safety measures such as required vaccination and mask wearing, some of our audience members would feel safer at home. We hope you will collaborate with us and help make streaming possible for these patrons.  Do we have your permission to live stream the performance?
Copy
No responses yet for this question.
Live stream conditions:
What conditions do you have for the live stream? Check all that apply.
Copy
No responses yet for this question.
Contingency planning:
If state, local, campus or health policies are suddenly updated and we're no longer able to present you live in Middlebury, which of the following would you be able to provide? If this is deemed necessary, we will follow-up as soon as possible, but this simply gives us a sense of your preference. Please check all that apply.
Copy
No responses yet for this question.
Name of person completing questionnaire
Copy
No responses yet for this question.
Preferred phone number for follow-up
Copy
No responses yet for this question.
By checking yes below, I have the authority to complete this questionnaire on behalf of the artist(s), and they will be directly part of the conversation if any contingencies come to pass.
Copy
No responses yet for this question.
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