By E-mail

Date of Application :  

Name of Organization : 

Responsible Individual :

Address :

              

Profit or Non-Profit Organization :

Federal Non-Profit ID# :

E-mail :

Daytime Phone :     Evening Phone :

Dates Requested :

1.      from : to :

2.      from : to :

3.      from : to :

 

Will you charge admission to this event?  yes   no    

Please check all that apply:
 This organization does not need to use any special equipment. We do not need to use the stage, nor do we need any sound equipment, including microphones, or theatrical lighting. By checking this option, we understand that we can use only the floor of the auditorium seating area, the stage in front of the main curtain, and the regular house lights. (Simple items such as an overhead projector, a speaker's lectern, tables, and a projector screen are available, if needed.)

This organization needs to use the following:

Stage
      in front of the main curtain (apron)
      front half
      full
Sound System
      how many corded microphones ?
      how many wireless microphones ?
      CD Player
      Cassette Deck
      Stage Monitor Speakers
Speaker's Lectern
Grand Piano (on approval only)
Studio Piano
  Chairs
  Music Stand Lights
Conductor's Podium
Acoustical Stage Shell
Acoustical Stage Ceiling Panels
Choral Risers (at additional cost)
Theatrical Lighting
      only the stage area in front of main curtain (catwalk lights only)
      entire stage area (all stage and catwalk lights)
      single set-up (on-off only)
      multiple changes (configurations for more than one set-up)
Back Stage Areas
      Band room
      Storage room
      Practice rooms
      Dressing rooms
Ushers will need to be provided

One of the following must be checked :

Please provide certified technician (s)

Sponsoring organization will provide certified Technicians :

Name (s) :

Phone number :

No Technician Required