Theatre Rental Request Form

Dance Studio or Organization Name
Contact Name
Contact Phone
Address
Address2
City
State
Zip
Contact Email
Contact Fax

Type of Program	Lecture Dance Recital Play Concert
Other (please specify)
Theatre Requested	Kaplan Theatre (capacity 296) Joe Frank Theatre ("black box" style)

Performance Date/Time
Alternate Date/Time
Alternate Date/Time
Rehearsal Date/Time
Rehearsal Date/Time

Equipment Needs (refer to Fee Schedule for additional costs)
Comments