Rental Booking Request Form

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Name
First Last
Organization
Email
Phone
UVic affiliation:
- Current UVic employee
- Past UVic employee
- Current UVic student
- UVic alumni
- None
Program/department
Department/Unit
Degree and graduating year
UVic V#
Billing address
Street Address Address Line 2 City Province Postal Code
FAST account (for internal billing only)
Event on-site contact
- Same as above
- Other
Name
First Last
Phone
Email

Event Details
Event title
Brief event description
Is your event open to the public?
- No, this is a private event / by invitation only
- Yes, but registration or a ticket is required to attend
- Yes, anyone is welcome to attend for free
Number of presenters/performers
Anticipated number of attendees*
Please enter the date, room(s), & event type:
Date Room(s) Type of event Load-in time Event start time Event end time Load-out completed (end)

(MM/DD/YY)

Type of event

Performance
Lecture
Rehearsal
Recording session
Class/workshop
Festival session
Film screening

Room Names

Phillip T. Young Recital Hall (capacity 220)
Mac B037: Class/rehearsal room (capacity 60)
Mac B016: Class/rehearsal room (capacity 35)
Mac B120: Class/rehearsal room (capacity 25)
Mac A166: Class/rehearsal room (capacity 30)
Mac A168: Tiered classroom (capacity 45)
Mac A169: Tiered classroom (capacity 60)
Mac B115: Reception lounge
Recording studio/CReaTeLab
Practice room (capacity 2)

Audio
Sound system / PA / recording equipment supplied by
- Venue
- Outside Source
If supplied by venue, number of microphones, monitors, etc.
Archival recording
- Audio only
- Audio and video
- None
Live online broadcast of event (available for events in the Phillip T. Young Recital Hall only)
- Yes
- No
Projector and screen
- Yes
- No
Additional information (please provide details of your audio and video needs):
Stage
Piano
- 1 grand piano
- 2 grand pianos
- Upright piano
- No
Piano tuning
- Yes
- No
Stage set up
Chairs Stools Music stands Tables Lecturn

Please indicate the number needed for each
What are you bringing for the stage (décor, set pieces, etc.):
Additional notes about stage set-up:
Lobby
Reception
- Yes
- No
Lobby tables
- Yes
- No
Number of lobby tables
Lobby chairs
- Yes
- No
Number of lobby chairs
Other lobby/reception details:
Staff
For bookings in the Phillip T. Young Recital Hall with an audience, two ushers are required.
- I will provide my own ushers
- I require usher support
- This booking will not have an audience
Does your event require security?
- Yes, I will provide my own security
- Yes, please provide information regarding additional security
- No
Additional event details:

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