Please provide the following contact information:

Name
Organization
Address
Town
State	ZIP
Work Phone
Home Phone
E-mail

Enter your intended use in the space provided below.

Enter the date of Use:

 (In mm/dd/yy format, ie 12/25/04)

Enter the time of of arrival:

Enter the time of departure:

Is this a rehearsal or performance?

Rehearsal Performance

If this is a performance, enter the start time:

If this is a performance, enter the finish time:

Anticipated Audience Size:

1-100 101-200 201-300 301-400 401-500 501-600 601-700 701-800 801-900 901-1000

Number of Performers:

1-25 26-50 51-75 76-100 100+

Please check each of the following CER things that apply to your theater use (check all that apply):

Use of Ticket Booth
Use of PA System and Microphone
Use of Stage Flies
Use of Podium

Please check each of the following things that applies to your theater use (click all that apply):

Bringing Additional Lighting
Bringing Additional Sound Equipment
Bringing Standing Stage Sets
Bringing Mobile Stage Sets
Bringing Dance Floor
Will Videotape Program

 

By clicking the submit button below, you agree to the following conditions:

• No Food or Drink is permitted in the theater or lobby areas.  (If you need a refreshment area, apply for cafeteria usage as well after submitting your application.  It's under "School Use Forms."
• No Smoking is permitted in any part of the building.
• Supervision over organization's children, any incoming food or drink into the theater house by audience, and behavior of audience will be provided by organization as well as overseen by theater personnel.

The Board of Education assumes no liability for the loss, damage, or personal injury through the use of this facility.