INTERNAL FACILITY USAGE CONTRACT DEPARTMENT: __________________________________________________________ PRIMARY CONTACT: _________________________________________________________________________________ PHONE: ____________________ FAX: ___________________ EMAIL: ___________________________________ IS THIS A SAN JUAN COLLEGE SPONSORED/AFFILIATED EVENT? Yes No NAME OF MEETING/EVENT: ___________________________________________________________________________ ANTICIPATED NUMBER OF PEOPLE EXPECTED TO ATTEND: _________ TYPE OF FUNCTION: Meeting Conference Fundraiser Student Activity Event (Please provide the approved Student Activities Proposal Form with your request) IS EVENT OPEN TO THE PUBLIC? Yes No PLEASE DESCRIBE IN DETAIL THE EVENT YOU ARE HAVING (PURPOSE OF EVENT): _______________________________ ___________________________________________________________________________________________________ Arrival time: _______________a.m. p.m. Exit time: ________________a.m. p.m. Day of the Week Month Date Year Starting Time Ending Time Room Assigned Use the attached “Additional Meetings” sheet to list more meetings, and include with facility contract. ROOM TYPE: Conference Room-Seats up to 80 Seminar Room-Seats 24-40 Lecture Hall-Seats up to 130 Classroom Computer Lab Little Theatre*-Seats 333 Performance Hall*-Seats 744 Any *Attached “Tech Sheet” must accompany Facility Contract when requesting the Little Theatre or Performance Hall. Use ATTACHMENT C for a lecture type event, and ATTACHMENT D for a concert/play/etc. type event. ROOM NUMBER/NAME PREFERENCE, IF KNOWN: _______________________ HOW MANY ROOMS ARE NEEDED? _________ SETUP STYLE: Classroom (chairs/tables) Theatre (chairs only) Banquet (chairs on both sides of tables) Horseshoe Round Tables Other: Attach drawing Serving Table(s) - How many? ___ Head Table(s) - How many chairs? ___ Display Table(s) - How many? ___ Reg. Table(s) - How many? ___ OTHER Setup requirements: _______________________________________________________________ MEDIA EQUIPMENT: NONE Podium/Mic Display Easel DVD/VCR Combo Whiteboard Flipchart DocCam Laptop Video Projector Screen Other: _____________________ Will admission fee or participant fees be charged? Yes No Ticket prices: Child $______ Student $______ Adult $______ Senior Citizen $______ Will any items be sold? Yes No Describe: _____________________________________________________________ Will booth or table charges be assessed? Yes No Is catering planned for this event? Yes No If yes, contact Mary’s Kitchen at 566-3155. (No outside catering is allowed. This does not apply to potlucks provided by the SPONSOR and APPROVED by the COLLEGE). Is extra Security requested? Yes No X SPONSOR Signature ___________________________________________ XDate _______________________ COLLEGE approved: _______________________________________________ Date: _______________________ This form is only an application. Reservations are official ONLY when the approved copy of this Agreement and all relevant attachments are returned to the SPONSOR. Please return this form to: Alana in Scheduling Services by Fax (566-3192) or Scan/email to [email protected] OFFICE USE ONLY: Res.#: _________________________ Date Received: _________________ ATTACHMENT C TECHNICAL ASSISTANCE RESERVATION FORM LECTURE/BASIC PACKAGE EVENT Name of Event: _________________________________________________________________________________ Program Date______________________ Program Time_____________ Access Time_________ Rehearsal Dates______________________ Rehearsal Times____________ Access Time________ Ticket Prices: (General) ______________ (Child) _________________ (Discount) _______________ Contact Name: _______________________________ Phone Number(s):___________________ For technical assistance please contact the SJC Technical Director: Linann Easley at (505) 566-3462 STAGE EQUIPMENT REQUIREMENTS Some services below will go beyond the Basic User Package. If so, the technical director will advise SPONSOR of any additional fee requirements. Projection Projection Screen_________ Projector________________ DVD:________ VHS:________ Laptop: Please provide MAC PC Will bring Sound Microphone:___________ Microphone Stands:_________ Hand Held Microphone:______________ Lapel Microphone:________________ On-stage monitors:______ Cassette:__________________ CD:__________________ Other Speaker Lectern:________ Chairs: __________ Table: __________ With microphone: Yes No (attach diagram of setup) Skirted Table: ___________ I understand that there will be no food or drink permitted in carpeted lobbies: _________________________________________________________SPONSOR signature Hall Fee: ______________ Technical Fee: __________ ([email protected] hour per theatre monitor) Total Due: ______________ Official Use Only Tech Approval Hall Approval Ad-Astra Payment Received ATTACHMENT D TECHNICAL ASSISTANCE RESERVATION FORM CONCERT/PERFORMANCE PACKAGE EVENT Name of Event: _______________________________________________________________________________________ Program Date____________________________ Program Time__________________ Access Time___________________ Rehearsal Dates___________________________ Rehearsal Times________________ Access Time___________________ Ticket Prices: (General) _________________ (Discount) _________________ (Child) ____________________ Contact Name: _________________________________ Home: _________________________ Work: ___________________ Mobile: ________________________ Fax: _____________________ STAGE EQUIPMENT REQUIREMENTS Some services below will go beyond the Basic User Package, additional charges will apply. Projection Projection Screen_________ Projector________________ DVD:________ VHS:________ Laptop: Please provide Will bring MAC PC Sound Microphone(s):___________ Microphone Stand(s):_________ Hand Held Microphone: ______________ Lapel Microphone: ________________ On-stage monitors: ________ Cassette: __________________ CD: __________________ Snake: ___________ @ 50.00 ea Drum Mics:________ @ 75.00 pkg Lighting: General Flood: ______________ Specific (lighting plot attached_: Follow spot(s): ______________ (Hang & Focus @30.00hr) Other (attach diagram and set-up): Speaker Lectern: ________ With microphone: Yes No (attach diagram of setup) Chairs: __________ Table: ____________ Skirted: Yes No Choral Risers:___________ Band Risers:___________ 9”Grand___________ Baby Grand__________ Upright Piano__________ @75.00hr @50.00hr Music Stands: ___________ Crew: (Final determination of crew number by Technical Director) Load-in: _____________ @18.00hr Stage Manager: _____________ @18.00 hr Follow spot(s):_____________ @18.00 hr Projectionist: __________________ @18.00 hr For technical assistance please contact the SJC Fine Arts Director: Linann Easley @ 505-566-3462 San Juan Colleges maintains a maximum decibel level of 90. San Juan College does not provide Ampliphiers or DI-boxes. San Juan College strictly forbids: fog, smoke or other pyrotechnics. SPONSOR is strictly prohibited from operating any SJC lighting and audio equipment. If sponsor desires any music equipment, they must contact the SJC Director of Music 3 weeks prior to event @ 566-3386. I understand and agree to follow the above San Juan College rules and procedures. I agree to pay all fees generated by this event. I understand that there will be no food or drink permitted in hall, on stage, or carpeted lobbies: _________________________________________________________SPONSOR signature I understand I must provide San Juan College, with a copy of my 1,000,000 event insurance policy listing San Juan College as an additional insured no later than 3 weeks prior to event. _________________________________________________________SPONSOR signature ANY EQUIPMENT NOT REQUESTED ON THIS FORM WILL NOT BE PROVIDED!!!!! Fees: Hall Fee: ______________ Technical Fee: _____________ Additional Fees: ____________ ([email protected] hour per theatre monitor) $0.00 Total Due:______________ Official Use Only Tech Approval Hall Approval Ad-Astra Payment Received ADDITIONAL MEETINGS Organization: Time Room SETUP OFFICE USE ONLY DATE Reservation #:
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