Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Renter's Name (must be a person*)
Organization Name (if applicable):
Purpose of the Organization:
Is the organization a non-profit?
Street Address/ Apartment or Suite#:
City/ State/ Zip
Day Phone:
Evening Phone:
Fax:
Email Address:
Show Title
Rental Start Time*:
Rental End Time*:
House Open Time:
Show Start Time:
Is the event open to the general public?
Will you charge admission?
If yes, please list prices including any student/senior discounts:
Do you want an announcement on the marquee*?
Will food or drink be served?*
Solo or duet music concert
Dance performance
Theater performance
Music concert by 3+ performers
Number of Performers:
Film or slide show
Lecture or reading:
Brief description of the event:
Will you sell any souvenirs (including CD's) or advertise any goods/services?
If so, please describe:
Will you use the State Theater's piano?
Will you use the State Theater's digital projector?
What sound and lighting equipment will you need?
What sound, lighting equipment, and scenery pieces will you bring?
Do you have any special sound or lighting requests not indicated above?
Water or soap bubbles
Glitter, confetti or snow
Strobe lights
Food or drink onstage
Dry ice or chemical fog
Glass or mirrors
Starter pistol or prop gun
Special Rigging
Frightening effects
Other (please list)
Name of director or person responsible for performance content:
Name of stage manager or person in charge of show:
Name of person in charge of lobby/ box office if you are selling tickets: