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Hemmens Cultural Center Rental Inquiry Form-Dates

2. 

3. 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.

5. First Name*

6. Last Name*

8. Primary Phone*

9. Type*

   1. Home
   2. Work
   3. Cell

10. Secondary Phone

11. Type

    1. Home
    2. Work
    3. Cell

13. Email Address*

15. Street Address*

16. Apt, Suite or P.O.Box

18. City*

19. State*

20. Zip*

22. How would you prefer to be contacted?*

    1. Phone
    2. Email

24. 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.

26. FIRST Choice of Dates. Please select date of event or START date of event.

28. Month*
    -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

29. Day*
    -- Select One --12345678910111213141516171819202122232425262728293031

30. Year*
    -- Select One --20202021

32. FIRST Choice of Dates. Please select END date of event IF more than one day.

34. Month
    -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

35. Day
    -- Select One --12345678910111213141516171819202122232425262728293031

36. Year
    -- Select One --20202021

40. SECOND Choice of Dates. Please select date or START date of event.
    Enter alternate dates if first choice is unavailable.

    Enter alternate dates if first choice is unavailable.

42. Month (alternate)
    -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

43. Day (alternate)
    -- Select One --12345678910111213141516171819202122232425262728293031

44. Year (alternate)
    -- Select One --20202021

46. SECOND Choice of Dates. Please select END date of event IF more than one day.

48. Month (alternate)
    -- Select One --JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

49. Day (alternate)
    -- Select One --12345678910111213141516171819202122232425262728293031

50. Year (alternate)
    -- Select One --20202021

52. Event Times

53. In Time

    Set up time

54. Out Time

    Tear down time

56. Space Requested*

    Choose all that apply.

    1. Stage
    2. Exhibition Hall
    3. Lobby
    4. Entire Building
57. Type of Event*

    1. Dance Recital
    2. Concert
    3. Musical Production
    4. Play
    5. Wedding
    6. Reception

    1. Party
    2. Quinceanera
    3. Exhibition
    4. Conference
    5. Other

59. If other type of event, enter type of event here

61. Will alcohol be served?

    (Bar services are contracted with Hemmens concessionaires only.)

    1. Yes
    2. No
    3. Unsure
62. Are you interested in using The Hemmens Box Office for ticketing?

    1. Yes
    2. No
    3. Unsure

64. Describe your event details.

66. Upload attachments such as event details, diagrams and production riders here.

68. 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.

    An email copy of the form will be sent to the email address you provided when you click Submit.

Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit Submit and Print

* indicates a required field