DIVISION OF THE ARTS
Performing Arts
Lane Community College

IN-HOUSE  FACILITIES  RESERVATION  FORM

Today’s Date: ________________

Facility Requested:       ______Mainstage ______Choral Room ______Other (Specify)

                                        ______Blue Door  ______Band Room

Function/Event:______________________________________________________________

Organization/Group:___________________________________________________________

Contact/Director:_________________________  Phone Extension:______________________

EVENT DATE(S):    _______________________ HOURS:      From_________ to__________

REHEARSAL DATES:_____________________ HOURS:     From_________ to__________

                             _______________________                 From_________ to__________

                             _______________________                 From_________ to__________

SET-UP DATE:         _______________________ HOURS:      From_________ to__________

Are other groups impacted? _____________________________________________________

Number of Audience Anticipated:_____________ Number in Company: __________________

Technical Requirements:________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Notes:_______________________________________________________________________

____________________________________________________________________________

APPROVALS:                                                DEPARTMENTS NOTIFIED:

Admin Asst/Calendar___________          Security___________________
Tech Director  _________________        HVAC Required _____________
Dept Leads _____     _____     _____       Custodial__________________
                    Music     Theater    Dance
Division Chair _________________
 

Date Calendar Confirmed: ____________   Date Canceled:_____________