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Hemmens Cultural Center Rental Inquiry Form-Dates
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This form has been modified since it was saved. Please review all fields before submitting.
Please complete this form and choose Submit or Submit and Print to send it to The Hemmens Cultural Center. You will be contacted during the business week with date availability information and estimated rental fees. If you have questions, please contact The Hemmens Administration Office at 847-697-3616. Thank you. (NO RENTAL DATES AVAILABLE IN 2023 OR EARLY 2024.)
First Name
*
Last Name
*
Primary Phone
*
Type
*
Home
Work
Cell
Secondary Phone
Type
Home
Work
Cell
Email Address
*
Street Address
*
Apt, Suite or P.O.Box
City
*
State
*
Zip
*
How would you prefer to be contacted?
*
Phone
Email
(NO RENTAL DATES AVAILABLE IN 2023 OR EARLY 2024.) Rental requests must be submitted at least 30 days prior to date requested. New renters may request dates up to one year in advance of event.
FIRST Choice of Dates. Please select date of event or START date of event.
Month
*
-- Select One --
January
February
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Day
*
-- Select One --
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Year
*
-- Select One --
2022
2022
FIRST Choice of Dates. Please select END date of event IF more than one day.
Month
-- Select One --
January
February
March
April
May
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November
December
Day
-- Select One --
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Year
-- Select One --
2022
2022
SECOND Choice of Dates. Please select date or START date of event.
Enter alternate dates if first choice is unavailable.
Month (alternate)
-- Select One --
January
February
March
April
May
June
July
August
September
October
November
December
Day (alternate)
-- Select One --
1
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Year (alternate)
-- Select One --
2022
2022
SECOND Choice of Dates. Please select END date of event IF more than one day.
Month (alternate)
-- Select One --
January
February
March
April
May
June
July
August
September
October
November
December
Day (alternate)
-- Select One --
1
2
3
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5
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Year (alternate)
-- Select One --
2022
2022
Event Times
In Time
Set up time
Out Time
Tear down time
Space Requested
*
Choose all that apply.
Stage
Exhibition Hall
Lobby
Entire Building
Type of Event
*
Dance Recital
Concert
Musical Production
Play
Wedding
Reception
Party
Quinceanera
Exhibition
Conference
Other
If other type of event, enter type of event here
Will alcohol be served?
(Bar services are contracted with Hemmens concessionaires only.)
Yes
No
Unsure
Are you interested in using The Hemmens Box Office for ticketing?
Yes
No
Unsure
Describe your event details.
Upload attachments such as event details, diagrams and production riders here.
If you wish to receive an email copy of this form instead of printing, please check the box below and enter your email address.
An email copy of the form will be sent to the email address you provided when you click Submit.
Leave This Blank:
Receive an email copy of this form.
Email address
This field is not part of the form submission.
Submit
Submit and Print
* indicates a required field
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