Please provide the name of your organization below: *
Your answer
Please provide a direct contact e-mail address: *
Your answer
Please provide a contact phone number: *
Your answer
Briefly describe the event/activity you have planned: *
Your answer
Date Requested: *
MM
/
DD
/
YYYY
Will this occur over multiple days? (If yes, please provide the number of consecutive days in the "Other" box below.) *
Audience Size Anticipated: *
Your answer
Event Times
For the next series of questions, please provide the times (with AM and PM denoted) that you wish to utilize the facility for the listed activities.
Load In (Open for you but not public) **again times are not guaranteed until confirmed by Mr. Riese** *
Time
:
AM
PM
Doors Open to Public *
Time
:
AM
PM
Event Begins *
Time
:
AM
PM
Event Ends *
Time
:
AM
PM
Load Out *
Time
:
AM
PM
Technical Services
Please check off all of the items you will need for your event. If an item is not marked, it cannot be guaranteed to be prepared and available for your event.
Stage Requirements *
Required
Lighting Requirements *
Required
If you requested specialized lighting, please describe the needed lighting below:
Your answer
Sound Requirements *
Required
If microphones are required, please check off the type below:
If more than one microphone is required, please specify the number desired:
Your answer
Equipment and Services *
Required
How many chairs/music stands are needed (if needed)?
Your answer
Is there any specific information, concerns, etc. you would like us to know prior to the event?
Your answer
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