Performing Arts Center Event Information Form
Name of Event
*
Description of Event
*
Type of Event (If performance includes rehearsals, choose performance)
*
Performance
Rehearsal
Meeting
Banquet
Commencement/ Graduation
Master Class
Lecture
Reception
Film
Number of Attendees Expected
*
Client/Organization Name
*
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the person listed above also the billing contact?
*
Yes
No
Billing Contact Name
Please include the email(s) for anyone to be copied on billing.
Billing Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Billing Contact Email
example@example.com
Signer for license agreement, estimate, and settlement, if different from billing contact
Is this request for technical labor only? (no PAC spaces needed)
Yes, we need tech support at another venue
No, we will be using PAC space(s) for this event
Will the person listed above be making the design and technical decisions for this event?
*
Yes
No
Technical Contact Name
First Name
Last Name
Technical Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Technical Contact Email Address
example@example.com
Is this a Cal Poly Student Club event?
*
yes
no
Faculty Advisor Name
*
First Name
Last Name
Faculty Advisor Email Address
*
example@example.com
Faculty Advisor Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does this event need AV support?
Yes
No
If so, please explain.
If you are paying with a Cal Poly Partners Account, please provide the org key and object code (Example: 93000-860017, both are required):
*
Yes
No
If you are paying with a Cal Poly Partners Account, please provide the org key and object code (Example: 93000-860017, both are required):
If so, please enter Cal Poly or Corporation Account Number to Charge
If you are paying with a State Fund / CFS please confirm here and note this will be processed through CSU Buy
Yes, billing will be processed through CSU Buy
No
Have you presented a similar event in the past year?
*
Yes
No
If so, please please provide the following information: for a Chart Field String (Fund, Dept ID, and Account) and for a Cal Poly Corp Account (Org Key and Object Code)
*
Back
Next
Reservation Day 1:
*
-
Month
-
Day
Year
Date
Type of Event
*
Please Select
Ticketed Event
Non Ticketed Event
Load in
Rehearsal
Load out
Filming
Live Stream
Spaces to be reserved
*
Miossi Hall
Main Lobby
Balcony Lobby
Gallery Lobby
Pavilion
Founders Room
Plaza
Loading Dock
Tech labor only, no PAC spaces
Client Arrival/ Set up
*
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Is there a 2nd reservation?
*
Yes
No
Reservation 2 Date:
-
Month
-
Day
Year
Date
Type of Event
Please Select
Ticketed Event
Non Ticketed Event
Load in
Rehearsal
Load out
Filming
Live Stream
Spaces to be reserved
*
Miossi Hall
Main Lobby
Balcony Lobby
Gallery Lobby
Pavilion
Founders Room
Plaza
Loading Dock
Tech labor only, no PAC spaces
Client Arrival/ Set up
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
Hour Minutes
AM
PM
AM/PM Option
Is there a 3rd reservation?
Yes
No
Reservation Date:
-
Month
-
Day
Year
Date
Type of Event
Please Select
Ticketed Event
Non Ticketed Event
Load in
Rehearsal
Load out
Filming
Live Stream
Spaces to be reserved
Miossi Hall
Main Lobby
Balcony Lobby
Gallery Lobby
Pavilion
Founders Room
Plaza
Loading Dock
Tech labor only, no PAC spaces
Client Arrival/ Set up
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Is there a 4th reservation?
Yes
No
Reservation date:
-
Month
-
Day
Year
Date
Type of Event
Please Select
Ticketed Event
Non Ticketed Event
Load in
Rehearsal
Load out
Filming
Live Stream
Spaces to be reserved
Miossi Hall
Main Lobby
Balcony Lobby
Gallery Lobby
Pavilion
Founders Room
Plaza
Loading Dock
Tech labor only, no PAC spaces
Client Arrival/ Set up
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Is there a 5th reservation?
Yes
No
Reservation Date:
-
Month
-
Day
Year
Date
Type of Event
Please Select
Ticketed Event
Non Ticketed Event
Load in
Rehearsal
Load out
Filming
Live Stream
Spaces to be reserved
Miossi Hall
Main Lobby
Balcony Lobby
Gallery Lobby
Pavilion
Founders Room
Plaza
Loading Dock
Tech labor only, no PAC spaces
Client Arrival/ Set up
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Is there a 6th reservation?
Yes
No
Reservation date:
-
Month
-
Day
Year
Date
Type of Event
Please Select
Ticketed Event
Non Ticketed Event
Load in
Rehearsal
Load out
Filming
Live Stream
Spaces to be reserved
Miossi Hall
Main Lobby
Balcony Lobby
Gallery Lobby
Pavilion
Founders Room
Plaza
Loading Dock
Tech labor only, no PAC spaces
Client Arrival/ Set up
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Is there a 7th reservation?
Yes
No
Reservation Date:
-
Month
-
Day
Year
Date
Type of Event
Please Select
Ticketed Event
Non Ticketed Event
Load in
Rehearsal
Load out
Filming
Live Stream
Spaces to be reserved
Miossi Hall
Main Lobby
Balcony Lobby
Gallery Lobby
Pavilion
Founders Room
Plaza
Loading Dock
Tech labor only, no PAC spaces
Client Arrival/ Set up
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Is there an 8th reservation date?
Yes
No
Reservation Date:
-
Month
-
Day
Year
Date
Type of Event
Please Select
Ticketed Event
Non Ticketed Event
Load in
Rehearsal
Load out
Filming
Live Stream
Spaces to be reserved
Miossi Hall
Main Lobby
Balcony Lobby
Gallery Lobby
Pavilion
Founders Room
Plaza
Loading Dock
Tech labor only, no PAC spaces
Client Arrival/ Set up
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Back
Next
Will the event be ticketed?
*
Yes
No
There will be a house manager and ushers for this event. Will it be reserved or general admission seating?
reserved
general admission
Will the event include food or beverages?
*
Yes
No
Will the event involve alcohol?
*
Yes
No
Will a tech rider be provided?
*
Yes
No
Submit
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