Racine Civic Center Use Application Page

Name *

Organization

Mailing Address*

City, State, ZIP*

Phone*

Fax

Email*

Application: (Check one):

Corporation

Partner

Individual

Financial References

Bank:

Bank Address:

City, State, ZIP

Event Information

Event Location:
Memorial Hall	Festival Hall	Festival Park

Type of Event Proposed:

Name and/or Titles of Proposed Acts and/or Performers:

Will this be a benefit performance? Yes No
If so for whom?

Event Dates:

Will this event require a move in or move out day?

What will be the publicized name of the event:

Estimated Ticket Prices:

Program Start Time:

End Time:

Please include all event details not provided for in the information above.

The following information may be requested after this application is submitted:

A fact sheet including but not limited to:

a. A history of your group or organization.

b. Names and locations of facilities in which you have promoted an event.

c. A brief description of the event.

The Racine Civic Centre, VenuWorks of Racine, LLC may require a security deposit to provide against damage to building or contents of the Racine Civic Centre and/or to guarantee the payment of any unpaid bills. Applicant will furnish required certificates of insurance.

All contractual agreements, usage, and event activities are subject to the standard rules for usage.

IT IS UNDERSTOOD THAT THIS IS AN APPLICATION ONLY AND IS NOT A CONTRACTUAL AGREEMENT AND THAT THE RACINE CIVIC Centre, VENUWORKS OF RACINE, LLC MAY OR MAY NOT GRANT THE REQUEST SET FORTH ABOVE.

A facility contract and cost estimate will be provided to potential lessee after application has been approved and all technical event information has been forwarded to event personnel.

APPLICANT*:

DATE*:

* required field

RACINE CIVIC CENTRE
5 FIFTH STREET ♦ RACINE, WISCONSIN 53403
PHONE 262-636-9229 ♦ FAX 262-636-9290