'
Date of Event:
Name of Organization:
Organization Web site:
Address:
City:
Purpose of Event:
Event Name (for calendar purposes):

Contact Information
Name:
Phone:
Email:
Mobile Phone:

Date(s) and Time(s) of Performance(s):
No. of Dressing Rooms Needed:

Date(s) of Rehearsal(s):
No. of Dressing Rooms Needed:

Set-up Time for Props/Scenery
Date:
    
Starting Time:
End Time:
Anticipated Number of attendees:

Name of Insurance Company Covering Event:
NOTE: The amount of such insurance shall be no less than $1,000,000 per occurence/$3,000,000 aggregate with the College of Mount St. Joseph named as an "additional insured" on the certificate of insurance.

SET UP NEEDS (please complete all that apply)
No. of tables and chairs needed on stage:
No. of tables and chairs need in theatre lobby: Tables:
Other Set-up Needs:
No. of microphones:
Projecting PC:



Screen:



Other media needs:

Food Service Needed:

If yes, contact Sanese Food Services directly at - 513-244-4633

This request does not guarantee this Theatre reservation for the date requested until you receive confirmation from Campus Facilities. After you receive your confirmation, please call dining services directly at (513) 244-4633 to request meals or breaks. DO NOT include any food or beverage set-ups with this request.

ALL Theatre requests must be completed for approval. (It will take approximately a minimum of a two-week processing period for a response. Therefore, it is recommended that you submit your request as soon as possible.)

By checking this box you agree that you have filled out this form to the best of your knowledge. I agree