ATTACHMENT II

 

FACILITY USE REQUEST AND INFORMATION FORM

DEPARTMENT OF THEATRE & DANCE

TEXAS STATE UNIVERSITY

THE UNIVERSITY THEATRE 

 

Please submit both pages of this form in duplicate to Room 101, Theatre Center, fifteen working days prior to the date requested.

 

AREA REQUESTED:

Main Theatre (seats 350) _____

The Main Theatre is a modified proscenium stage, with a seating capacity of up to 350; it includes limited handicap seating.

 

NAME OF ORGANIZATION:______________________________________________

 

CAMPUS AFFILIATION (if applicable): _____________________________________

 

NATURE OF EVENT (describe in detail): _____________________________________

 

DATES & TIMES OF REQUESTED RESERVATION

(Please include anticipated set-up, preparation and rehearsal.)

 

DATE                                    TIME                                    ACTIVITY (set-up, rehearsal, performance, etc.)

___________________      ____________________   __________________________________________

 

___________________      ____________________   __________________________________________

 

___________________      ____________________   __________________________________________

 

___________________      ____________________   __________________________________________

 

___________________      ____________________   __________________________________________

 

___________________      ____________________   __________________________________________

 

 

CHECK EQUIPMENT NEEDED:  Indicate number of items where appropriate.

NOTE: Specific details about lighting, sound, stage arrangement, etc., should be discussed with the Technical Director of Theatre (512-245-2147). The Theatre Department Technical Director reserves the right to employ the number of technicians needed for set-up, rehearsal and performance, to be paid by the user.

 

___         Public Address Mics                            ___         Podium  ___                                         Bare Stage

___         Audio Playback in Theatre                                ___         Chairs                                    ___         Stage Draperies

___         Piano                                                      ___         Tables (size:___)                 ___         General Lighting 

                                                                                 

 

DRESSING ROOMS:    Men: _____(number)                                              Women: _____(number)

 

If you anticipate needing accommodations for persons with disabilities or have questions about physical access, please contact the Department of Theatre and Dance at (512-245-2147).

 

 

 

 

 

Rental Fees:  In accordance with UPPS No. 8.01.10, the following rental fees apply.

 

I.     Academic departments, university-funded student organizations, and events  sponsored by Continuing Education or Student Affairs: Fee = $100/day.

II.    Non-university-funded campus related activities and non-Texas State funded Continuing Education Activities: Fee = $300/day.

III. Events sponsored by community or non-campus organizations:  Fee = $400/day.

 

                                                                                                                                                                                               

                Name of person making request (please print or type):  ___________________________

 

                Address: ____________________________________ Phone: _____________________

 

                Date request made: _______________________ Signature: _______________________

 

                                                                                                                                                                                               

 

For Official Use Only

 

Your event has been scheduled as per your request.  This office should be notified of any cancellation or changes to the above agreement at least five working days prior to the scheduled event.

 

Approved by:                                                                                         Date:                                                                   

 

PRIORITY USE CLASSIFICATION:                                                                            

CHARGES:

                LABOR: Hours_____at_____per hour          TOTAL LABOR CHARGE:__________

               

                RENTAL CHARGES:_______OTHER CHARGES:________TOTAL:________