Procedure ...... Request Form ...... Policy ...... Rental Contract ...... Tech Needs

CHRHS Request for Facility Use
Please complete and return to: jane_self@fivetowns.net

Click here for fillable form

Organization: __________________________________________Today’s Date: ______________

Contact Name: ____________________________Phone: ____________ Email: ______________

Address: ________________________________                   

                ________________________________
              
    Name of Event: _________________________________________________________________
              
    Type of Event:   music      dance     speaker     meeting     other __________________

Fee Category:  are you charging an entrance fee to your event?   Yes    No

Date of Event: _____________    Need Snow Date?  Yes     No

Time of Event:_____________     Set-up Time: ______________  End Time: ___________

Rooms Requested:               Strom                                 Gym
                                           Black Box               Mini Gym
                                           Dressing Rooms   Varsity Fields
                                           Chorus Room                   Practice Fields
  Band Room                       Track                    
                                           Café                                   Parking Lots
                                           Café Concessions            Outdoor Concessions                                                                                          Classrooms:  need ______ classrooms             Other: ______________                
                                                                                                                                                                                        
Equipment:                 Piano Baby Grand      Piano Upright     Projector
                                          Tables: ______            Chairs: ____        Other: ______

Strom Tech Needs:   Sound:   vocal mics    instrumental mics
                                         Lights:   general stage/house lighting    specials
                                          Stage Management         Load in/out assistance
Additional Information:

 

 

 

 

 

Office Use Only:

     Notify: __________Keith                                 ____________Rick                           ____________Susan

       Calendared:                                                                            Deposit Rec’d:                                  Insurance Rec’d: 
       Contract Sent:                                                                       Event Billed:   
       Contract Rec’d:                                                                     Invoice Paid: