Penny Gallery Application
This form is for the use of the Penny Gallery. If you would like to book the Penny meeting rooms, please email penny@uleth.ca.
Contact Information
All information collected in this form will be kept confidential by the Faculty of Fine Arts Dean's Office.
What type of booking is this?
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Please Select
Internal- Fine Arts
Internal-Other Department
External
If internal, which department:
For internal bookings within Fine Arts, have you filled a faculty event form?
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Please Select
Yes
No
Name
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First Name
Last Name
What name would you like the Community and Events Manager to use in correspondence?
Email
*
example@example.com
Office Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone Number
*
Format: (000) 000-0000.
University ID Number
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Booking Information
Type of booking:
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Please Select
Exhibition
Event
Rehearsal
Other
If other, please note it here:
Is this booking part of a graduate defence/project?
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Please Select
Yes
No
Title of Booking:
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First Day of Setup:
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Last Day of Booking:
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
If you intend to have a public reception, please note the date here:
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reception start time:
Reception end time:
All food and drink consumed during public events must be supported through event caterers. If using a caterer, which campus caterer are you using?
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Please Select
Chartwells/Fresh Fork
LA Chefs/ Sky Events
Prime Catering
Unsure: Arranged through FFA Admin
No Catering/Food service
Do you intend to serve alcohol at your reception?
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Please Select
Yes
No
Not Applicable
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Setup Requirements
All setup requirements for tables, chairs, coat racks, additional caretaking must go through Facilities Event Setup at least 2 weeks prior to your event. Even though the loading dock of the gallery has tables and chairs, they must be requested through the service desk to ensure they are not double booked with another user in the building.
Which spaces do you wish to use?
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Please Select
Penny Gallery Only
Projection Room Only
Both Projection Room and Gallery
The projection room is not equipped with technology. Use of this space requires consultation with FFA Tech Services
Please describe the installation including the number of pieces, and how they will be installed
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Please list the personnel who will be setting up and striking the installation:
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The space does not come equipped with theatrical elements, but they can be used in the space with approval. Will you be bringing in any of the following equipment?
Projectors
Microphones
Special Lighting
Loudspeakers
Risers
Who is providing this equipment?
Is the piano requested?
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Please Select
Yes
No
The piano in the space is not on the tuning rotation. If the piano is necessary for your event, a tuning fee will be applied. You may not use the piano without approval from the Community and Events Manager.
List plans for advertising and signage:
What are your storage needs?
Anything left in the gallery after your booking may be disposed of if not picked up within 2 weeks of the last date of your approved booking.
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Safety Procedures
Will your exhibit/event involve any liquids, including bodily fluids?
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Please Select
Yes
No
Describe Tripping Hazards:
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including cables, artwork on floor, etc.
Safety of all involved (yourself, patrons, Penny Building staff) is of highest importance. Are there any parts of your event/exhibit that are outside the norm or may involve any health or safety risk? If so, please describe
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(Examples: live bands playing, startling noises, live animals, heavy objects, etc.)
This .PDF outlines Security Services SOPs for the space. By initialing this, you are agreeing you have read and will abide by the information noted in this document.
Initials
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Muster Point
Is located on the corner of 5th Street and 4th Avenue, outside Steel and Vine restaurant
Layout of the Gallery
Elevation renderings. Please note that nothing can be hung from the ceiling, draped over any pipes and must have a distance of 16" from sprinklers. Doors must be cleared from all obstructions within a 4' radius, and all egress routes to fire exits must remain clear. Failure to do so will result in the obstruction being moved without warning.
A Hazard Assessment is required for needs specific to your booking. This form does not need to be turned in, but must be provided should Campus Safety or the Dean's Office request to see it. Please reach out to Fine Arts Community and Event Manager or Campus Safety if you need support filling this out.
Initials note you understand the need to complete a hazard assessment
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By signing this form, you agree all information on this application is complete and will provide updates immediate to the Community and Events Manager.
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