2027 PHT Community Use Dates Application

2027 Padua Hills Theatre Community Use Event Application

When filling out this form please reference the sample contract for venue rules and regulations
Community Organization/Non-Profit Name:*
Day of event coordinator*
Cell Phone*

Area CodePhone Number
Business Phone

Area CodePhone Number
Address*
City*
State*
ZIP Code*
E-mail Address*
example@example.com
Event Information (Events must be open to the public)
Primary Date Requested (please note that Saturdays are rarely available; most awarded dates are Wednesdays and Thursdays):*

MonthDayYear
Date
2nd Alternate Date*

MonthDayYear
Date
3rd Alternate Date

MonthDayYear
Date
4th Alternate Date

MonthDayYear
Date
5th Alternate Date

MonthDayYear
Date
COMMUNITY USE EVENTS EXCEEDING THE ALLOTTED EIGHT-HOUR TIME PERIOD WILL BE SUBJECT TO FEES OUTLINED IN THE EVENT CONTRACT AND VENUE RULES AND REGULATIONS.
Event Set up Time
Event Start Time
Event End Time
Event Clean up Completed By
Estimated Attendance*
Ticket Cost
Adults OnlyFamily Event
Fundraiser/Benefit for*
Event Description*

0/80
Exterior PlazaExterior DeckDining Room/LobbyMain AuditoriumStage
Food and Beverage Information (please note there are no kitchen facilities available, this includes ice)
Sit Down MealBuffetPotluckAppetizers OnlyNone
Name of Catering Company
YesNo
Beer and Wine OnlyFull Bar
Alcohol available for purchaseAlcohol for free (hosted)
YesNo
If not contracted with Chantrelles Catering for alcohol service, and alcohol is being served or sold at the event, it is the responsibility of the community organization to obtain a one-day ABC License (visit https://www.abc.ca.gov/licensing/apply-for-a-new-license/license-application-requirements/ for more information). Please initial in the box below.
Number of Bar Locations (a maximum of two are permitted)
Location of each Bar using Venue Areas above
Event Entertainment (please note the included sound system cannot amplify music)
YesNo
Describe event entertainment
If yes please indicate the name of the entertainment provider
Entertainment Start Time
Entertainment End Time
YesNo
YesNo
YesNo
Please state your organization's connection to Claremont and give the number of Claremont residents your organization served in 2025*

0/75
Any additional comments?

0/75
If awarded date, who would be signing the contract (name and title)*
Name of applicant (Community Organization Representative)*
Signature of applicant*

Clear
Date*

MonthDayYear
Date
Should be Empty: