Breckenridge Theater Rental Application

Please fill out the following venue rental application as accurately and thoroughly as possible. This information will be used to draft a Facility Rental Agreement.

Name of Event (to be used on the BreckCreate Website)*

Main Contact Name*

First Last

Title*

Organization Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Cell

Email*

Organization Type

Organization Type*

Sole Proprietorship
Corporation
Limited Liability Company
General Partnership
Limited Partnership
Other

If you chose Other, Please specify the type of Organization

Contract Signer Information

Contract Signer Information*

First Last

Contract Signer Title*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Event Details

Requested Start Date of Event*

Requested End Date of Event*

Second Choice

Event Description (To be used on breckcreate.org website)*

Please provide detailed description of your event to be used on this website.

Event Start Time*

HH :

MM

Event End Time*

HH :

MM

Time Doors Open*

HH :

MM

Setup Date*

Setup Time*

HH :

MM

Load Out Date*

Load Out Time*

HH :

MM

Expected Audience*

Ticket Prices*

How will tickets be sold? (i.e., through Breckenridge Creative Arts Ticket Office, through your own organization…)*

Concessions/Catering Needs*

Any third party vendors you anticipate using including sound/production (include phone #, email and contact name)*

Marketing Plan (how, where and when will the event be marketed)*

Event Image to be used on breckcreate.org website*

Please provide us with a high resolution image for your event to be used on this website. Preferably in a jpg or png format.

Drop files here or

Technical Requests

For a more accurate estimate and production services please be as specific as possible. Additional technical requests requested after the execution of the contract will acquire additional costs. Only 2 wireless mics available.*

Will you need the use of the projector?*

Yes
No

Will you need the use of the DVD/Blue Ray players?*

Yes
No

Will you have a Power Point Presentation?*

Yes
No

Will you have a sponsor/logo reel?*

Yes
No

Will you have music playback?*

Yes
No

Other Setup Needs (tables, podium, power...)*

Venue Reference #1 | Event Venue you have done business with in the past

Venue Name*

Contact Person*

Venue Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Name of Previous Event*

Date(s)*

Venue Reference #2 | Event Venue you have done business with in the past

Venue Name*

Contact Person*

Venue Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Name of Previous Event*

Date(s)*

Venue Reference #3| Event Venue you have done business with in the past

Venue Name*

Contact Person*

Venue Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Name of Previous Event*

Date(s)*

Additional Notes

Please provide any additional information that we need to be aware of in the box below.

Note: Upon successful submission, you will be redirected to a Thank You page. If you are not redirected, there are errors on the form. Please revisit the form to view the errors. All errors will be highlighted.

Name

This field is for validation purposes and should be left unchanged.

Breckenridge Theater Rental Application

Venue Rental Application - Breckenridge Theater

Please fill out the following venue rental application as accurately and thoroughly as possible. This information will be used to draft a Facility Rental Agreement.

Organization Type

Contract Signer Information

Event Details

Technical Requests

Venue Reference #1 | Event Venue you have done business with in the past

Venue Reference #2 | Event Venue you have done business with in the past

Venue Reference #3| Event Venue you have done business with in the past

Additional Notes