KPA Event Rental Application

KPA Event Rental Application

Fill out the information below.
Signatory Contact Name

First NameLast Name
Signatory Email Address
example@example.com
Signatory Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Contact Name

First NameLast Name
Primary Contact Email Address
example@example.com
Primary Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization name
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your organization a non-profit?
Event Name
Billed Artist(s)
Event Date(s)
Is the event ticketed?
If yes, General Admission or Reserved?
Expected Attendance
Does your event have specific security requests
Requested Venue and space(s). Please select all that apply
Do you need insurance for your event?
Please provide 2-3 sentences about the event:
Please provide contact information for the last three (3) venues to host this event

If you have not performed this event in the past, please provide three (3) professional references.
Venue #1
Venue Name
Venue Address
Contact Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of show performed at this venue
__________________________________________________________________
Venue #2
Venue Name
Venue Address
Contact Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of show performed at this venue
__________________________________________________________________
Venue #3
Venue Name
Venue Address
Contact Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of show performed at this venue
Confirmation of hold(s) will be issued via email and will include contact information to proceed with the estimate process.
Should be Empty:

KPA Event Rental Application

Venue #1

Venue #2

Venue #3