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:________