2. Theater Renter Inquiry Form
4. Date of Application
   Date of Application

   Date of Application
6. Organization's Name
8. Contact Person *
10. Email Address*
12. Organization's Mailing Address*
14. Address Line 2
16. City*
17. State*
18. Zip*
20. Telephone #*
21. Fax #
23. Organization's Website
25. Additional Event Contact Name
26. Telephone #
30. Date Information
32. Requested Date(s) of Use
    Include all days and dates. This should include if any additional rehearsal dates will be needed.
34. Have you produced any other events?

    1. Yes
    2. No
35. If so, where?
39. Does the organization have a Non-Profit Status?

    1. Yes
    2. No
40. If yes, upload 501(C)3 document here
    The 501(C)3 document must be provided in order for the non-profit status to apply. Please attach document.
42. Does the organization have a Florida State Sales Tax Exemption?

    1. Yes
    2. No
43. If yes, upload DR-14 document here
    The DR-14 Florida Sales Tax Exemption must be provided in order for the exemption to apply. Please attach document.
45. Does the organization reside in Miramar City limits?

    1. Yes

    1. No
49. Event Information
51. Show Title
53. Type of Event
    -- Select One --Dance Competition Dance Recital ConcertSymphonic Presentation FilmLectureAwards ShowFashion ShowGraduation PlayOther
54. Other, please explain
56. Brief description of event
58. How long is your event?
    Performance time required only
60. Do you have an intermission?

    1. Yes
    2. No
61. If yes, how long?
63. How many performers/participants in this event?
65. Will you sell merchandise?

    1. Yes
    2. No

    If yes, merchandise fees will apply.
67. Will you require use of the banquet hall for a reception?

    1. Yes
    2. No
69. Do you have any catering needs?

    1. Yes
    2. No
70. If yes, please describe
74. Box Office Information
76. What time does your event start?
    Please include am or pm
77. What is your expected attendance?
79. Is this a public event?

    1. Yes
    2. No
80. Will you be charging an admission fee?

    1. Yes
    2. No
82. Provide expected prices inclduing any discounts
86. Production Information
88. Production Contact Name
89. Email address
91. Telephone #
93. Can you provide a technical rider?

    1. Yes
    2. No

    If not, please answer questions below.
95. Will you provide a stage manager?

    1. Yes
    2. No
96. Will you have any scenic elements?

    1. Yes
    2. No
97. Describe
    Include any banners or drops
99. Will you require stairs from the audience to the stage?

    1. Yes
    2. No
100. Will you need a podium?

     1. Yes
     2. No
102. Do you have a stage plot?

     1. Yes
     2. No
103. If yes, please upload here
105. Will you require any platforms on stage?

     1. Yes
     2. No
106. If yes, how many?
108. If a dance performance, will you require a marley floor?

     1. Yes
     2. No
110. What are your lighting needs?
112. Do you require follow spots?

     1. Yes
     2. No
114. How many microphones will you need?
115. Do any need to be handheld or lavaliere microphones?
117. What playback do you require?
     ie, CD, IPOD, etc.
119. If presenting a band, do you provide your own backline?

     1. Yes
     2. No
121. If not, please provide list of backline needed as rental equipment
123. Do you require a piano?

     1. Yes
     2. No

     Miramar Cultural Center does not own a piano and the use of a piano will require a rental fee
124. Piano tuning?

     1. Yes
     2. No
126. Do you require costume/wardrobe support?

     1. Yes
     2. No
127. Do you have any audio visual needs?
     ie; projector, screen, laptop, dvd, switcher
129. Will you be videotaping your event?

     1. Yes
     2. No
130. If yes, how many cameras?
132. Will you have any special effects?

     1. Yes
     2. No
133. If so, please describe
     Special effects include but not limited to live flame, smoke, fog, starter's pistol, confetti, strobe lights, etc.
135. How long is your load-in expected to take?
136. Rehearsal/Sound check length?
137. How long is your load-out expected to take?
139. Do you require any tables for sponsorship, merchandise or display?

     1. Yes
     2. No
140. If yes, how many?
141. Purpose of the tables

     1. Information only
     2. Sponsors will sell services and/or items

     Please note merchandise fees will apply
Leave This Blank:


143. 1. Receive an email copy of this form.
144. Email address

     This field is not part of the form submission.

145. Submit

* indicates a required field