Lunchtime Performance Booking Form

Thank you for agreeing to perform at a Lunchtime Performance in Guy’s or St Thomas’ Hospital. We are excited to include you in the programme! Please complete the form below to confirm your booking. If you have any questions, please contact Jo Pelly, Programme Manager (jo@breatheahr.org) or Becky Harrison, Engagement and Support Officer (becky@breatheahr.org).

Fields marked with * are mandatory.

*First name/s (of lead artist): *Surname (of lead artist): What is the name of the act, if different to the above? *How many artists will be performing? (Maximum of 4) *Please confirm the date you have been pencilled for: *Please confirm the venue you have been pencilled for: *What time do you intend to arrive? *Do you require parking? (St Thomas' Hospital only)
(Please note there is no charge for pre-booked parking at the hospital, but you will need to pay the £15 London Congestion Charge to get there and any ULEZ charges.)
If you require parking, please provide the make, model and registration of your vehicle (these details will be passed on to the Security Team at St Thomas') *Email: *Confirm email: *Contact number (in case we need to get hold of you on the day of your performance): Please provide any social media handles/website/Youtube channel details: What do you need us to set up for your performance? We can provide one amp, one mic and one mic stand.
Amp


Mic


Mic stand

What equipment/instruments will you be bringing? *Do you need chairs for your performance (e.g. for a drummer)?

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