Facility Rental Request Form

We look forward to working with you to make your event a success!

1. All fields marked with "*" are mandatory to submit your request.

2. This form does not save to complete at a later time.

REQUESTOR

Organization Name

Title Of Event

Event Type

Meeting

Performance

Class

Sports

Other

Event Description

LOCATION

Select all that apply

Auditorium / Theater

Conference Room

Dance / Yoga Studio

Gym / Field

Other

Auditorium / Theater

Arts Center (black box theater) – ACES at Chase 565 Chase Pkwy, Waterbury

Arts Hall (black box theater) - ECA 55 Audubon Street, New Haven

Auditorium – 88 Bassett Road, North Haven

Cornerstone Room (atrium w/ piano) – ACES at Chase 565 Chase Pkwy, Waterbury

Little Theater (proscenium) - 1 Lincoln Street, New Haven

SDA Conference Center - 205 Skiff Street (rear bldg.), Hamden

Small Conference Room

Large Conference Room

Coffee Service - $1.50 Per Cup

Dance / Yoga Studio

Third Floor (hardwood, 8ft ceiling) - ECA 55 Audubon Street, New Haven

Arts Hall (sprung Marley floor) - ECA 55 Audubon Street, New Haven

DanceSpace (lower level) - ECA 70 Audubon Street, New Haven

Gym / Field

Gym - Mill Road School 295 Mill Road, North Haven

Gym - Village School 31 Temple Street North Haven

Gym - WIMS 670 Wintergreen Avenue, Hamden

Gym - Whitney HS North / Academy 130 Leeder Hill, Hamden

Gym - Center for Autism 26 Old Post Road, Northford

Gym - ACES at Chase 568 Chase Parkway, Waterbury

Field - ACES at Chase 568 Chase Parkway, Waterbury

If Other, Please Describe

Audience Y / N

Yes No

Number of seats needed.

Organization Phone Number

Organization Email

Organization WebSite

501C3 (Non Profit) Status

Yes No

PARTICIPANTS

Number Participating / Performing

Age of Members

19+ (adult) 18 years and younger Both

Number of Staff On-site

Lead Staff On-site

Lead Staff Title

Lead Staff Cell Phone Number