Fillable FAC Facilty Request (public)1 (East Central University)

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FAC Facilty Request (public)1 (East Central University)

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  • 15 check-boxes
  • 32 other fields

Country of origin: US
File type: PDF

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FOR OFFICE USE ONLY
Accepted
Denied
Contract Signed
Insurance
501(c)3
HBFFAC Director
Date
Last Edited: July 15, 2013
I, the undersigned, do affirm that I have read the regulations pertaining to the use of the Hallie Brown Ford Fine Arts Center and hereby agree to comply with the Policies and Procedures of East Central University
governing the use of such facilities and further agree to be responsible for any damages that may occur to the facilities during such use. I understand that I am required to submit proof of liability insurance with ECU
named as co-insured in the amount of $1,000,000 at least ten (10) business days in advance of my event. I understand that any charges are to be paid in advance or upon presentation of an invoice. Additionally, I
understand any special services or accommodations required by Section 504 of the Rehabilitation Act and the Americans With Disabilities Act (including all associated amendments) for any participants, officials,
spectators, workers, volunteers, and employees of the Lessee will be the full responsibility of the Lessee.
_____________________________________________________________________ _____________________________________________________________
Lessee Signature Date
Space(s) Requested:
Event title:
Organization
Contact Person
Address
City
St./Zip
Number of patrons
expected (per performance)
E-mail
Phone
Use the space below to describe your event:
Date(s) requested:
Is this a ticketed event?
If so, do you plan to utilize the HBFFAC Box Office or ticketing website?
What time will you be entering the space?
What time will your event begin?
What time will you be leaving the space?
What time will your event end?
Your time entering and leaving the space must include the time spent in set-up
and tear down for your event.
These times should reflect the beginning and end times that are listed to the
public. The space opens to the public thirty minutes before the time listed.
Sound:
Lighting:
AV:
Lectern
(w/mic)
CD Player
Lighting Presets
For basic on/off lighting
Other Lighting
Video Projector &
Screen
Other AV
Hand Held
w/Stand
Phone/mp3
Lighting System
For more complicated lighting
Facility Laptop
Ipod dock available (Ataloa)
Lapel Mic
Other Sound
Follow Spot
DVD Player
Other Needs:
.
Tables:
# needed
# needed
Will there be food service?
Rectangular (8’)
Pub (2’6” dia.)
Food can be arranged through ECU’s on campus food service provider:
Chartwell’s. If you plan to bring your own food, Chartwell’s must be offered
the opportunity for first refusal. Chartwell’s contact: 332-1545
Rectangular (6’)
Chairs
Round (5’ dia.)
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FAC Facilty Request (public)1 (East Central University)

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Completed 22 August 2020

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