The York Theatre Company 619 Lexington Ave New York, NY (212) ext. 226 / Fax: (212) RENTAL INQUIRY FORM

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1 JAMES MORGAN, PRODUCING ARTISTIC DIRECTOR W. DAVID MCCOY, CHAIRMAN The York Theatre Company 619 Lexington Ave New York, NY (212) ext. 226 / Fax: (212) RENTAL INQUIRY FORM GENERAL INFORMATION Please fill out this form and return it in order for us to provide you with an accurate rental quote. Fill out as much information as you know. We can always revisit these topics later to make any and all adjustments to fit your rental needs. Organization Name: Contact Person: Address: City: State: Zip: Phone: ( ) - Fax: ( ) - Proposed Use of Facility (Please check all that apply) Rehearsal Theatre Performance Lecture Music Concert Staged Reading Dance Performance Fundraiser Showcase Other: (Please Describe)

2 SCHEDULE Date Time Time Purpose In Out (Performance, tech, rehearsal, etc) Approximate length of performance: Intermission? Yes No Approximate Intermission length:

3 TECHNICAL INFORMATION LIGHTING Briefly describe your lighting requirement: SCENIC/SET Will a set be used? Yes No If yes, please describe set pieces: (description, height, length, etc) Please note that all sets, drapes, and all technical equipment are subject to Fire Marshall Inspection. SOUND Please check applicable items for the York to provide: Microphones: (quantity) Chairs: (quantity) Music Stands: (quantity) Lighting System/Stage Lights (or just) Work Lights Piano (or) Keyboard Sound Equipment/Board OTHER Please check applicable items you will be providing: Projector Projection Screen Wireless Mics: (quantity) Instruments: (please specify) Other: (please describe) Will a photographer or videographer be recording your event? Yes No

4 BOX OFFICE/FRONT OF HOUSE INFORMATION What type of event: Free Ticketed If Ticketed, will our Box Office services be utilized? Yes No We provide an online platform specific for your production for all presales, and provide day of phone and walkup sales for each performance. This is an additional per performance fee of $100 for all matinees and weekday performances, and $150 for all weekend performances (Friday and Saturday evening). There is also a 6% charge on all sales to cover the Vendini Ticketing Agent fee. FILL OUT THIS SECTION ONLY IF USING OUR TICKETING SYSTEM What title would you like printed on the ticket stock? Ticket Price(s): Door: Pre-Sale: Adult: Senior: Student: Group: Child: How many to make a Group: What age is considered Child: Please list any other specifications for ticket pricing: Will you provide a program? Yes No Do you have merchandise for us to sell at our Concessions Stand? Yes No If yes, please describe items: All revenue generated from the York Theatre concessions will belong to the York Theatre. Any revenue generated from the rental entity will be split 25%/York 75%/Renter. FRONT OF HOUSE Two Ushers must be present for each performance. Will you provide? Yes No (Additional charge of $15 per performance will be added if The York provides ushers)

5 SHOW INFORMATION Please give us a brief description about your performance/event so that we may give out accurate information to those that inquire about your event. Check all that apply: Artificial Smoke Fog Strobe lights Adult Themes Adult Language Extreme Violence Number of Actors: Suitable for Ages: Nudity? Yes No If yes, briefly explain: (Example: Actors in underwear, topless, rear nudity, full nude actors, etc) Do you have a website? Yes No Website Address: INSURANCE Renter must maintain General Liability Coverage in an amount not less than One Million Dollars ($1,000,000.00), single limit, all occurrences, and shall provide The York with Certificate of Insurance naming The York Theatre Company as Additional Insured. Please fill out as much information from the above form as possible and or fax it to: Carolyn Kuether ckuether@yorktheatre.org Fax: (212) Thank you for your interest in using The York Theatre Company for your project!