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Step 1 of 7

Clinic/Session Information

Clinic/Session Category:*

Clinic Presentation For (MMEA Area):*

Title of Clinic/Session:*

Clinic/Session Description:*

Clinician/Clinic Sponsor(s):

Please provide pertinent information regarding any/all sponsorship for this session. (i.e. Name of sponsoring company/organization, contact person, contact person information – email, phone, etc.)

Equipment Needs:*

None

Piano

Data Projector

Audio Connection to the “house” sound system

Other (Please indicate your needs below)

NOTE: Computer availability is the responsibility of the presenter/clinician. MMEA does not provide computers for event sessions.

Additional Equipment Needs:

Please list any additional equipment/audio visual needs required for this session.

Does this session require a DEMO Ensemble?*

Yes

NOTE: Please refer to Section 10.4 of the MMEA Performance Application Criteria for information regarding Demonstration Groups.

Additional Information:

Please provide any additional information that may be relevant to the success of this presentation.

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2025 | Clinic/Session Information Form (3)

Clinic/Session Information

Primary Clinician/Presenter Information

Co-Presenter (1) Information