CAC Request Form

Please fill out the form below to request use of the Main Stage Theater in the Warkentine Culture & Arts Center at �㽶��Ƶ��.

Requesters Name:

Contact Email:

Contact Phone Number:

Organization/Department Name:

Title of Event:

Preferred Date(s) of Use:

(please include if any days are needed for load in/set up and load out/clean up)

Preferred Date(s) of Use:
	Preferred Date(s) of Use:	Item weight

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Alternative Date(s) of Use:

(if the preferred date is not available, if desired, please include an alternate date you would like)

Alternative Date(s) of Use:
	Alternative Date(s) of Use:	Item weight

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Move-In Time:

(what time would you like access to the space for set up, etc…)

Event Start Time:

Event End Time:

Seating Type:

Estimated attendance:

Will there be live music?:

If yes, please provide additional details

Will there be food service?:

(CAC policy does not allow food in the auditorium when auditorium seats are in-use)

If yes, what type?:

(meal, snacks, beverages, etc…)

Please provide us with an overview of the event:

(purpose of use, etc…)

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