First Name: Last Name:
E-mail: Phone #:
If this show is a Collaboration this form must be completed by both groups. Please do not send 2 forms for the same show.
Not Listed?:
Show Name:
Theatre Space:
Event Dates: Load-in: Performances: Strike:
Please provide a brief description of your lighting needs:
Please provide a brief description of your audio needs: Indicate how many microphones and what type (ie: wireless handheld, lav, hanging choir, etc). and if you will need a CD Player?
Will you be building a set? (if yes explain)
Please provide a list of any furnishings you will need: (tables, chairs, etc)
Sun: Date: Time(s):
Mon: Date: Time(s):
Tues: Date: Time(s):
Wed: Date: Time(s):
Thu: Date: Time(s):
Fri: Date: Time(s):
Sat: Date: Time(s):
Indicate any worklight hours you plan on using: (These are hours you will be in the theater without a production Supervisor. You will not be able to use the sound and lighting systems or any power tools during this time)
Sound Board Operator:
Ushers:
The old version of this form is availble in MS .doc format or PDF