Centennial Hall Application

Part 1: Applicant/Group Information

Requesting Organization *

Responsible Party's Name & Title *

Email Address *

Complete Mailing Address *

Phone Number *

Alternate Phone Number

Alternate Contact Name and Phone Number

Phone Number to give to citizens interested in event

Part 2: Event Information

Title of Event *

Complete Description *

Notes

First Date (Required)

Reservations must be at least three hours in length. "Entry" is when door is unlocked for applicant, and "Exit" is when everyone will have vacated the Hall. The doors to the facility will be opened at the entry time indicated. Remember to allow adequate time for setting up, preparing, packing up, and exiting. Please be sure to reserve the rehearsal dates also.

Requested Date #1 *

Entry Time #1 (Load-in, Setup) *

Doors Open #1 (for guests) *

Program Start Time #1 (From) *

Program End Time #1 (To) *

Audience Exits #1 *

Exit Time #1 (Cleanup / Load-out) *

Second Date (Optional)

Requested Date #2

Entry Time #2 (Load-in, Setup)

Doors Open #2 (for guests)

Program Start Time #2 (From)

Program End Time #2 (To)

Audience Exits #2

Exit Time #2 (Cleanup / Load-out)

Third Date (Optional)

Requested Date #3

Entry Time #3 (Load-in, Setup)

Doors Open #3 (for guests)

Program Start Time #3 (From)

Program End Time #3 (To)

Audience Exits #3

Exit Time #3 (Cleanup / Load-out)

Part 3: Setup Information

Room(s) to be Reserved (please check all that apply) Koeppen-Gerlach Auditorium (Capacity: 719) Ludwig E. Loos Room (Capacity: 150, or less when room is set up) C.L. Masters Room (Capacity: 30, or less when room is set up)

If utilizing the Auditorium's stage, number of performers

How many people expected?

Will food/beverages be served? (Loos Room Only)

If yes, name of caterer

If light refreshments, list all items that you would like to serve.

Have you made your appointment to view the Hall and discuss setup for your event? Yes No

Setup specifications will be determined during the mandatory on-site visit to the Hall. Visits to the Hall are by appointment only. Please call 414-286-5525 to schedule this appointment.

Digital Signature & Agreement

As the authorized adult representative of the eligible organization listed on this application, I hereby apply to enter into this rental agreement. I have read the rules governing the use of these facilities and agree that these rules will be strictly observed. I assume the responsibilities under this agreement for the conduct of all persons in the Hall during my reservation. The applicant/renting organization agrees to save and keep the Milwaukee Public Library, City of Milwaukee, harmless from any and all liability whatsoever arising out of the use of Centennial Hall facilities and equipment.

Applicant and Responsible Party *

Date *

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