Benesh Movement Notation Score: Declaration of Educational Use

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Section A: Applicant’s Details

Name

First Last

Date

Please email the following extract to:

Section B: Details of Extract Requested (only one item per form please!)

Title of Work:

Extract: (normally up to 5% of the work or a single distinct section (e.g. a solo, a pas de deux), whichever is the greater)

Score Owner:

Notated by:

Section C: Declaration

I confirm*

The above request is for individual research or private study purposes only.*

I have not previously been supplied with a copy of the same material by you or any other librarian; I will not use the copy except for research or private study for a non-commercial purpose and will not supply a copy of it to any other person; and to the best of my knowledge no other person with whom I work or study has made or intends to make, at or about the same time as this request, a request for substantially the same material for substantially the same purpose.

I understand that if this declaration is false, I shall be liable for infringement of copyright.

* Notes may be made and very brief quotes may be included in coursework. Publication of more substantial, previously unpublished, extracts is not permitted without the prior written permission of the copyright and score owners.