Lone Star College-Tomball Performing Arts Center Facility Request Form

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Lone Star College-Tomball Performing Arts Center Facility Request Form Page 1 of 6 Date: Organization: Mailing Address Street or PO Box: City: State: Zip: Contact Person: Physical Address (if different from mailing) Street: City: State: Zip: Legal Tax Status: Profit Non-Profit Contact Information Phone Number: Fax: Alternative Number: E-mail: Name of Person Responsible (if different from above): Please note: The person named above on the rental application is responsible for the permitted event and must be the first person to arrive on the day of the event and must stay onsite the entire time. Event Title: Type of Event Solo or duet music concert Dance performance Theatre performance Film or slide show Lecture or reading Other (Please indicate) Music concert by 3+ performers Brief description of the event:

Page 2 of 6 General Performance Information Rehearsal: Date(s): Time(s) in: Time(s) out: Performance: Date(s): Load in: Performance(s) start: Performance(s) end: Load out: Will there be an intermission? Yes No If so, how long? Estimated audience attendance: (Note: Theatre capacity is 400) Number of Performers: Estimated number of crew: Will there be an admission charge? Yes No Will children under the age of 18 be performing in your event? Yes No Minors must be under the supervision of adults at all times. Lone Star College - Tomball requires there be one wrangler for every seven children. Please note: Rental start time must be at least one hour before show start time, allowing for 30 minutes minimum set-up time and 30 minutes house open before show start time. Rental end time must be at least 30 minutes after show end time, allowing 15 minutes for audience and performers to vacate the premises and 15 minutes to clean the lobby and dressing room areas. Theatre Technology Please read carefully. Check all that apply. Visual Standard Stage Lighting (House and standard stage wash) Lighting Design and cues (Additional fees will apply) Note: This pertains to any lighting options besides the standard stage lighting. You will need to schedule time with the Performing Arts Center Coordinator to discuss lighting and estimated costs. LCD Projector Booth input- the technicians in the booth control the visuals that appear on the screen Stage input- the presenter uses a laptop to control the visuals Computer

Page 3 of 6 Audio Wireless hand-held How Many? (up to 8) Wired microphones How Many? (up to 8) Microphone stands How Many? (up to 8) Compact Disk Player Computer Your own (Note: If bringing a Mac, you will need to bring your own adapter to connect to the PC cable.) College to provide Presentation remote Projector audio patched through house speakers, if presentation has sound embedded Sound System Lone Star College-Tomball s sound system includes the following: a 48-channel Yamaha digital sound board, CD player, and can accommodate any other type of pick up device that you might choose to run (ipod, laptop, etc.) Stage/Lobby Setup If utilizing the items listed below, please attach a detailed stage diagram including all applicable set up requirements, such as microphone locations, piano, etc. Furniture Tables on the stage Tables in the Lobby How many? (up to 8) How many? (up to 6) Chairs on the stage How many? (60 max) Chairs in the wings/orchestra How many? (69/22 max) Podium on the stage Chairs in the Lobby How many? (15 max) Maximum 151 chairs onstage if mix and match the two/three different styles of chairs. Piano on the stage (Note: There is a piano tuning fee)

Page 4 of 6 Stage Operation For your event, a minimum of a sound technician and a lighting technician provided by Lone Star College Tomball are required. For an additional cost, a follow spot operator and/or stage manager are also available. One technician cannot be assigned to two different operating duties. Indicate here how many Theatre technicians your event will require and the job that each will be doing. Sound Operator (minimum of 1) (required) Lighting Operator (minimum of 1) (required) Follow Spot Operator (optional) Stage Manager (optional) Indicate here, items you will be bringing into the Theatre for use on stage, including: Scenery Props Backdrops Costumes Signage Decorations Musical Instruments Music Stands Other Any and all special effects or items requiring special caution must be identified: It is your responsibility to arrange times for delivery, load-in, set-up, and load-out or all of these with the Performing Arts Center Coordinator. Note: The use of any props with an open flame will not be permitted under any circumstances. Conditions of Usage Lone Star College - Tomball takes a great deal of pride in its facility and its aesthetically pleasing atmosphere. LSC- Tomball asks that the users offer the same respect, in the uses of the College s facility, to maintain its beauty and longevity. Usage of the theatre includes, and is restricted to the green room, two (2) dressing rooms, the lobby, and the lobby restrooms. Theatre must be booked in advance. Please remember, all previous debts must be paid before the theatre is available for use. Ample time must be given for checks to be processed. No alcoholic beverages are permitted on campus. Lone Star College-Tomball is a smoke-free environment.

Page 5 of 6 House Food or drink may be enjoyed in the lobby; however, it is not allowed in the house or on stage. Candles, glitter or any other substance that may stain or damage the carpet are NOT allowed in the theatre house. The Performing Arts Center has 391 permanent seats with a house capacity of 425 when box seating is added. Although it appears there may be more room, no more than 425 people are allowed in the theatre at one time, due to fire code restrictions. Sitting in the aisles or in additional chairs at the back of the house is not permitted. That space is a walkway to a fire exit. Stage All lighting and technical needs must be staffed by Lone Star College Tomball personnel. No pyrotechnics of any kind (flashpots/powder/paper, confetti launchers) will be allowed. Only dry ice foggers will be allowed. LSC-Tomball has very sensitive chemical alarms located in its air intakes; chemical foggers/hazers will activate them. When activated, LSC-Tomball s policy is to evacuate the entire building. All special effects must be a solid substance, not liquid. Nothing can be fastened to the stage floor. Dance Companies Only dance companies with a Marley dance floor will be allowed to perform on stage. Dance companies, not LSC- Tomball employees, are responsible for the installation and removal of the dance floor. Additionally, rosin is not permitted. Promotions Marketing, advertising and publicity is the sole responsibility of the Renter group. Please Note Lone Star College - Tomball is an educational facility and its class lectures, class performances and internal events will supersede any previous commitments and contracts with client (external sources). Lone Star College-Tomball has the right to refuse service or facility usage to any client for any reason. Lone Star College-Tomball may be cancel your reservation at any time with or without full refund to the client I have read and understood the Conditions of usage. The information provided is correct to the best of my knowledge. (Misleading information may lead to booking cancellation at any time). All completed documents and payment must be received before date is reserved for client. If non-profit, documentation must also be provided.

If approved, the Facility Use Agreement must be completed and signed by the appropriate LSC-Tomball designee. Insurance may be required as stated in the LSCS Facility Use Agreement guidelines. Printed Name: Signature of Representative: Name of Company Position: Date: Page 6 of 6 Signature of PAC Coordinator: Date: