Ballroom Rental Form Program Host's Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Email(Required) Contact Phone#(Required)Please give the phone number of where we can best reach you.Is this program hosted by a business or other non-profit group?(Required) Yes No Business NameIf this program/event is hosted by a business or other non-profit group, please provide the name of it hereName of Program (Optional)What kind of program/event would this be?(Required) Theatrical Performance Concert Presentation Gallery Interactive Activity If you want Mansion open for guests: $100/hour – Agreed upon times the house would be open for guests If your party have 50-100 people: Additional staff needed at $20/hour – Required 3 staff. Staff must be paid prior to event starting. If your party have 100 people: Security needs to be hired at $50/hour. Other Please describe your program in more detail(Required)Date(s) of program(Required)Please provide a list of potential dates (or set of dates for multi-day events) and times that you wish to hold your program/event. We strongly encourage you to list possible alternative dates in case of conflicting schedules. Add Remove Equipment and Fees We need to know ahead of time how many people are expected to be in attendance/working at this event as well as any equipment you may need that isn't provided yourself. Depending on how many people and the amount of what equipment that you need, we charge fees. A full list of our fees based on this criteria can be viewed on the Rentals page of our website. You don't need to know exactly how much equipment or how many people at the time of applying, we just want an idea of what to expect. If necessary, please list any equipment of ours you might need. Chairs (up to 120) Round Tables (up to 20) Bar | $20 for Bartender (non-alcoholic only, otherwise the holder of the liquor liscense must provide one) Projector and Screen Podium Stage P.A. System Will alcohol be served at this event?(Required)Whoever holds the liquor license must provide their own bartender. Yes No Not Sure Yet How many people (guests, organizers, etc.) are expected to attend?(Required) Please enter a number from 1 to 120. Δ
