Docstoc

BROOMFIELD AUDITORIUM RENTAL REQUEST FORM

Document Sample
BROOMFIELD AUDITORIUM RENTAL REQUEST FORM Powered By Docstoc
					BROOMFIELD AUD IT ORIUM RENT AL REQUEST FORM
3 Community Park Road Broomfield CO 80020 720-887-2371 www.broom fieldauditorium. com 303-438-6234 fax CLASS Rental #___________ Event Date(s): ____________________________________ Date Submitted (user) ________________ Date Processed (city) ___________________

FACILITY USER check one _____City & County _____Nonprofit1 _____For Profit 2 Organization Legal Name Address ___________________________________________________________________________ City, State, Zip _____________________________________________________________________ Phone Publicity phone ______________________________ Email Publicity web ________________________________ Event contact (for all rental matters)____________________________________________________ Phone Email _______________________________________ Onsite contact3 (if different person) ______________________________________________ Phone ______Email____________________________________
1

Certificate of Incorporation required for first time users Certificate of Liability Insurance required 3 An adult (18 years+) representing facility user is required onsite during all scheduled use
2

LIABILITY INSURANCE Failure to provide information will delay your request Agency __________________________________________Certificate Expiration Date _________________ Address City, State, Zip Phone ____________________________________Email
____Event ____Rehearsal ____Meeting ____Other (please specify use) ________________________________________________________________________ Type of Function (check one) ___Public ___Private ___Other _________________________________ Event Admission ____Free (295 seat max) ____Ticketed-prices Publicity details for public event listing on web, cable TV, print and broadcast media ________________ _________________________________________________________________________________________

REQUESTED USE check all that apply

TECHNICAL One technical staff is present during scheduled facility use Our organization will need the following ___ Additional technical staff 5 ___ Sound package5 (more than two mics needed) ___ Concert grand piano5 5 ___ Choral risers (6 available) how many? ___ ___ LCD projector & screen5 ___ Musician chairs (60 available) how many? ___ ___ Conductor's podium & music stand ___ Music stands (60 available) how many? ___ ___ Lectern with microphone STAGING black upstage curtain (traveler) and side legs provided at no additional charge ___Bringing in props or other equipment (facility not responsible for damage or theft) __________________ ___Bringing in other floor covering (requires prior approval of technical coordinator) ____________________ ___Other _______________________________________________________________________________________________________________ FRONT OF HOUSE ___Special Event Liquor Permit (sales or serving)4 ___Sales tax license (form is filed after your event)4 ___Bringing in perishable goods or liquids
(No open flames allowed, food is only permitted in the Lobby area)
4 5

___Ticket office (staffed by your group) 5 ___ 6’ tables (6 available) how many? ___ ___ Lobby chairs (30) how many? ___

Indicates city permits you must secure prior to auditorium use Additional fees apply

Event rentals are billed in 5-hour shifts; check the Audi website for current fees -subject to change. Please complete the shaded areas; the other sections are for office use

DAY 1: Event/Activity Name: Date Load-In/Set-up Event/Activity Start Event/Activity Finish
Load Out/Strike By Extra Equipment (Page 1) Extra Equipment (Page 1) Applicable Discount Deposit Total Fees Due

Time

Attendance $

Fees

(event rentals only) (per event rental only) Initial Date Balance Date

$ $ $ $100.00 $

DAY 2: Event/Activity Name: Date Load-In/Set-up Event/Activity Start Event/Activity Finish
Load Out/Strike By Extra Equipment (Page 1) Extra Equipment (Page 1) Applicable Discount Total Fees Due

Time

Attendance $

Fees

(event rentals only) Initial Date Balance Date

$ $ $ $

DAY 3: Event/Activity Name: Date Load-In/Set-up Event/Activity Start Event/Activity Finish
Load Out/Strike By Extra Equipment (Page 1) Extra Equipment (Page 1) Applicable Discount Total Fees Due

Time

Attendance $

Fees

(event rentals only) Initial Date Balance Date

$ $ $ $

DAY 4: Event/Activity Name: Date Load-In/Set-up Event/Activity Start Event/Activity Finish
Load Out/Strike By Extra Equipment (Page 1) Extra Equipment (Page 1) Applicable Discount Total Fees Due

Time

Attendance $

Fees

(event rentals only) Initial Date Balance Date

$ $ $ $

Thank you for choosing the Broomfield Auditorium


				
DOCUMENT INFO
Shared By:
Stats:
views:8
posted:12/18/2008
language:English
pages:2