Theater Space Rental Application Form

Theater Space Rental Application Form

Lil' Brick Theater
Requested date of Event

MonthDayYear
Date
I am requesting:

5 hours of use (minimum)24 hour use of Lil' Brick Theater space (rate can be negotiated)More than 5 hours useMore than 24 hour use
Applicant Name

First NameLast Name
Date of birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What kind of event do you want to hold at the Lil' Brick Theater Space?

Standup comedyTheater, show, playDanceMusic concertFashion ShowConferenceMeetingArt exhibitsParty eventOther
What is the name of your event?
Please describe everything that will happen at your event.
If the public is invited, upload artwork of your event, or if don't have one yet, send later with contract.

Cancelof
Do you need a lighting and sound engineering tech? We can provide this service with a fee. (Costs depends on complexity)

YesNo
Will you be doing any food concessions?

YesNo
Do you need a beverage service at this event?

NoYes. HMTC is certified to do this service. HMTC assumes licensing, provides the drinks and retains the profits from the drinks. This is provided at $25 per event.
There is no smoking in the building. Do you agree?

YesNo
Name #2 co-applicant (if applicable)

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.

Emergency contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
If applicable what is your company name
Address of company if applicable.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone Number
Please enter a valid phone number.
Company Email
example@example.com
Do you agree that the event you will have at the Lil' Brick Theater is as described and any add-on activities or changes must require permission from HMTC?

YesNo
Notes: You can add information of your event in the box below or ask us questions.
Public use rate is $25 an hour (5 hour min) with a $75 deposit at least two weeks in advance. The deposit will be refunded if the place is left clean and in usable condition. We ask for a one-day-use insurance agreement two weeks in advance. If you need day-use insurance we recommend www.eventsured.com as an option. Their rates seem reasonable.

This form is only a application for rental. We will send you a rental agreement after submission of this form.
Date of this application

MonthDayYear
Date
If the date of your event is available we will send you an agreement form. Note that your application for the event must be as you described. Any deviation requires a new application. Signature in the box is needed before submittal.

Clear
Should be Empty: