Event Information Form

Performing Arts Center Event Information Form
Name of Event *
Description of Event *
Type of Event (If performance includes rehearsals, choose performance) *

PerformanceRehearsalMeetingBanquetCommencement/ GraduationMaster ClassLectureReceptionFilm
Number of Attendees Expected *
Client/Organization Name*
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the person listed above also the billing contact?*

YesNo
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.
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 venueNo, 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?*

YesNo
Technical Contact Name

First NameLast Name
Technical Contact Phone Number
Please enter a valid phone number.
Technical Contact Email Address
example@example.com
Is this a Cal Poly Student Club event?*

yesno
Faculty Advisor Name*

First NameLast Name
Faculty Advisor Email Address*
example@example.com
Faculty Advisor Phone Number*
Please enter a valid phone number.
Does this event need AV support?

YesNo
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):*

YesNo
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 BuyNo
Have you presented a similar event in the past year?*

YesNo
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)*

Reservation Day 1:*

MonthDayYear
Date
Type of Event *
Spaces to be reserved*

Miossi HallMain LobbyBalcony LobbyGallery LobbyPavilionFounders RoomPlazaLoading DockTech labor only, no PAC spaces
Client Arrival/ Set up *

Hour Minutes

AM/PM Option
Event Start Time *

Hour Minutes

AM/PM Option
Event End Time *

Hour Minutes

AM/PM Option
Is there a 2nd reservation?*

YesNo
Reservation 2 Date:

MonthDayYear
Date
Type of Event
Spaces to be reserved*

Miossi HallMain LobbyBalcony LobbyGallery LobbyPavilionFounders RoomPlazaLoading DockTech labor only, no PAC spaces
Client Arrival/ Set up

Hour Minutes

AM/PM Option
Event Start Time

Hour Minutes

AM/PM Option
Event End Time

Hour Minutes

AM/PM Option
Is there a 3rd reservation?

YesNo
Reservation Date:

MonthDayYear
Date
Type of Event
Spaces to be reserved

Miossi HallMain LobbyBalcony LobbyGallery LobbyPavilionFounders RoomPlazaLoading DockTech labor only, no PAC spaces
Client Arrival/ Set up

Hour Minutes

AM/PM Option
Event Start Time

Hour Minutes

AM/PM Option
Event End Time *

Hour Minutes

AM/PM Option
Is there a 4th reservation?

YesNo
Reservation date:

MonthDayYear
Date
Type of Event
Spaces to be reserved

Miossi HallMain LobbyBalcony LobbyGallery LobbyPavilionFounders RoomPlazaLoading DockTech labor only, no PAC spaces
Client Arrival/ Set up

Hour Minutes

AM/PM Option
Event Start Time

Hour Minutes

AM/PM Option
Event End Time *

Hour Minutes

AM/PM Option
Is there a 5th reservation?

YesNo
Reservation Date:

MonthDayYear
Date
Type of Event
Spaces to be reserved

Miossi HallMain LobbyBalcony LobbyGallery LobbyPavilionFounders RoomPlazaLoading DockTech labor only, no PAC spaces
Client Arrival/ Set up

Hour Minutes

AM/PM Option
Event Start Time

Hour Minutes

AM/PM Option
Event End Time *

Hour Minutes

AM/PM Option
Is there a 6th reservation?

YesNo
Reservation date:

MonthDayYear
Date
Type of Event
Spaces to be reserved

Miossi HallMain LobbyBalcony LobbyGallery LobbyPavilionFounders RoomPlazaLoading DockTech labor only, no PAC spaces
Client Arrival/ Set up

Hour Minutes

AM/PM Option
Event Start Time

Hour Minutes

AM/PM Option
Event End Time *

Hour Minutes

AM/PM Option
Is there a 7th reservation?

YesNo
Reservation Date:

MonthDayYear
Date
Type of Event
Spaces to be reserved

Miossi HallMain LobbyBalcony LobbyGallery LobbyPavilionFounders RoomPlazaLoading DockTech labor only, no PAC spaces
Client Arrival/ Set up

Hour Minutes

AM/PM Option
Event Start Time

Hour Minutes

AM/PM Option
Event End Time *

Hour Minutes

AM/PM Option
Is there an 8th reservation date?

YesNo
Reservation Date:

MonthDayYear
Date
Type of Event
Spaces to be reserved

Miossi HallMain LobbyBalcony LobbyGallery LobbyPavilionFounders RoomPlazaLoading DockTech labor only, no PAC spaces
Client Arrival/ Set up

Hour Minutes

AM/PM Option
Event Start Time

Hour Minutes

AM/PM Option
Event End Time *

Hour Minutes

AM/PM Option

Will the event be ticketed?*

YesNo
There will be a house manager and ushers for this event. Will it be reserved or general admission seating?

reservedgeneral admission
Will the event include food or beverages?*

YesNo
Will the event involve alcohol?*

YesNo
Will a tech rider be provided?*

YesNo
Should be Empty: