Rental Application Form

Rental Application Form
The information you provide in this application will be used strictly to determine an appropriate price quote. Please fill out in its entirety and return via email to thegreenespace@wnyc.org. If the details of your request change, then the price quote will be adjusted to reflect the modifications.

Any requests for dates, times, and services shall not be deemed confirmed unless a contract and invoice are issued and signed by both parties. This application does not suggest any formal agreement.

Please confirm that you read RENTAL GUIDELINE & TECH SPECS.
I have read the RENTAL GUIDELINE & TECH SPECS (initial below).

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All renters MUST provide two (2) Certificate of Insurance documents for your event upon signing contract.

Certificate #1- Naming New York Public Radio as additional insured.

New York Public Radio - The Jerome L. Greene Performance Space, 160 Varick Street, 7th Floor NY, NY 10013

(Sample) http://media.wnyc.org/media/resources/2012/Jan/09/certificate-liability-insurance.pdf

Certificate #2- Naming The Rector, Church-Wardens and Vestrymen of Trinity Church in NY as additional insured.

The Rector, Church-Wardens and Vestrymen of Trinity Church in NY, 74 Trinity Place, NY, NY 10006

(Sample) http://media.wnyc.org/media/resources/2012/Feb/16/WNYC_-_Sample_Certificate_of_Insurance.pdf
Event Info
Name of Event
Proposed Date

Month Day Year
Date
Are you flexible on dates?

Yes No
Company Name
Contact Name

First Name Last Name
Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
For-profit or non-profit?

For profit Non-Profit – 501 (c)(3) status (please attach the 501 (c)3 form.)
Please include a brief summary/description of your event. If you have program order or flow and more detailed information, please submit a document along with this application.
File Upload

Cancel of
Type of event (please check all that apply)

Play Dance Classical Concert Other type of music Rehearsal Conference Panel Discussion Class/Lecture Film/Video Screening Film or TV Shoot Recording Reception Seated Dinner Other
Will you need any of the following? Please note: Video or audio recording of any kind WITHOUT The Greene Space staffing is strictly prohibited.

Live video stream Video capture Audio capture
Do you own rights to recorded music you will be using for your livestream?

Yes No N/A
Attendance/Guest Info
Estimated number of guests expected to attend:
How will attendees be accounted for?

Guest list Tickets available for sale Other
Requested house Seating set-up (Audience Seating Set up)

Theater Style (Up to 130 max) Standing Room only (200 max) Cocktail Style (150 max) Other (Please Specify)
Other
Event Schedule
Setup

(Please estimate minimum 1-hour without catering or 2 hours with catering)
includes staff arrival, receiving rental/catering deliveries onsite, artists/guest
speakers/panelists arrival, catering Set up, stage set up, space decorations,
lighting focus & etc.

Additional hourly charge will be applied if any deliveries are arranged
different date/time.
Time

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
Sound Check/AV Set up Check

Please estimate minimum 30 min if you have video or PowerPoint presentation
Time

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
Arrival of Attendees (Lobby Opening)
Time

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
Start and End Time of Stage Performance/Presentation/Event
Time

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
Reception/post event meeting End (if applies)
Time

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
End of Event/Clean out/ Load out (“Strike”)

Please estimate minimum 1 hour. All items must be picked up by the end time. Additional hourly charge will be applied if any pick-ups are arranged different
date/time.
Time

Hour Minutes

AM/PM Option

to
until
Hour Minutes

AM/PM Option
Total Hours
Catering
A TIPS certified bartender is required to be on premises during the entire event.
If caterer is not providing one, TGS MUST provide at a cost.
Will your caterer provide a TIPS certified bartender?

Yes No
What will be served?

Beer & Wine Only Liquor & Spirits
IMPORTANT

For beer and wine only: A permit from the NYS Liquor Authority is required. TGS can secure maximum two (one per bar) at a cost. Otherwise it must be arranged through TGS’s preferred caterer. A copy of permit needs to be submitted.

For liquor and spirits: A permit from the NYS Liquor Authority is required and it MUST be secured via TGS’s preferred caterer. A copy of permit needs to be submitted.
Equipment/Technical Needs (please select all that you require)

*Additional fee or labor may added to estimate.
Lectern Drum Kit *110” Projector & Screen on stage 60” HD TV Monitor on stage CD/DVD Playback (please provide 2 copies of your media) *Computer for PowerPoint or Video Coat Rack
Microphones*
How many? Wired? Wireless?
Music Stands/Lights
How many? (Limited number is available)
Chairs on stage
How many?
Musician Chairs
How many? (Limited number is available)
High Chairs on stage
How many? (Limited number is available)
Table on stage
How many? What is the purpose?
Table on stage
How many? What is the purpose?
*Piano
How many? Tuning?
Folding Table
What is the purpose? How many?
*Rental Equipment you are arranging (please specify)
Other furniture/equipment you are planning to use:
Signature of Event Organizer

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Date

Month Day Year
Date
Print Name
Title/Organization
Should be Empty:

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Rental Application Form

Event Info

Attendance/Guest Info

Event Schedule

Setup

Sound Check/AV Set up Check

Arrival of Attendees (Lobby Opening)

Start and End Time of Stage Performance/Presentation/Event

Reception/post event meeting End (if applies)

End of Event/Clean out/ Load out (“Strike”)

Catering

Equipment/Technical Needs (please select all that you require)