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panara theatre request form

Robert F. Panara
Theatre Request Form

NOTE: All fields are required

Name of Event:
Date of Event: (mm/dd/yy)
Time of Event: from: to:
Actual Hours Needed
(include set-up and clean-up time):
 from: to:
Your Name:
Your Phone Number:
Your E-mail:
Your Address:
Sponsoring Organization:
For students
Name of Faculty Advisor:
Advisor's E-mail:
   
Stage needs
(for custom stage settings, please check "other" and describe)
Podium Table(s) #
Dressing Rooms Chairs #
Other (describe)
Media Needs
(please contact NTID Media Services, 475-5820, to verify availability)
Microphone(s) on stage #
Microphone(s) in audience #
Overhead projector
Network connection (Ethernet)
Power Point (Macintosh or PC)
Real Time Graphic Display (captioning)
Video playback
Video recording
Audio recording
Slides
Other (describe)
Notes:


Rochester Institute of Technology | National Technical Institute for the Deaf
Performing Arts Department
52 Lomb Memorial Drive | Rochester, NY 14623
Phone: 585-475-6069 | Fax: 585-475-6787