Organizationrequired

Person in Chargerequired

Mailing Addressrequired

Cityrequired

Staterequired

Ziprequired

Contact Numberrequired

Second Contact Number

Emailrequired

Date Requestingrequired (mm/dd/yyyy)

Building Requestedrequired

Space Typerequired

Room Number

OR Brief Description of type of room needed

Athletic Facility Requesting

Event Start Timerequired

Event End Timerequired

Group Departure Timerequired

Auditorium Microphones: What type and how many microphones do you need? Please choose all that apply.

Wireless Handheld Microphone

Corded Microphone

Lapel

Instrument

Condenser

Microphone Stands

Light & Sound Tech Needed

Request a tech on site for event. Due to School District needs, this may or may not be available.

Yes No

Music

All songs must be in order on (1) CD or 1 MP3 player.

CD MPS Player

Any other sound needs?

Lighting Needs

Please choose all that apply.

Podium/Lecture Lighting Work Lights Dress Rehearsal/stage lighting Colored Gels

Describe your lighting needs.

Choir Risers

Band Platforms

Tables

Chairs

Music Stands

Shell

Other

Please share any other information you feel is important for us to know as we look at this book.