Orange County Community College Orange Hall Theater 115 South Street Middletown, New York 10940 Phone: (845) 341-4720 Fax: (845) 341-4721 Event Date: (text) Today�s Date: Event Name: _ (Event Name) Sponser/Coordinator: (Sponser/Coordinator) _ Contact phone/ ext: (Contact phone/ ext) Briefly describe the event: How long is the program? ________________________________________________________ (How long is the program) (text) If you are bringing your own equipment, materials, musical instruments, etc. How long will it take to set up? (How long will it take to set up) (Y/N) Are you expecting local media coverage? (Y/N) Do you require a podium with a microphone? (Y/N) (Y/N) How many OTHER microphones do you need? (How many OTHER microphones do you need) Explain any special/technical needs that you anticipate. Do you need any of these items on stage? (Do you need any of these items on stage) (chairs (how many) Unchecked chairs (how many?) (undefined) (text) (tables (how many) Unchecked tables (how many?) ____________ 6� long (6� long) 8� long (8� long) 2� square (only one available) (2� square (only one available) What items will you set up on stage (scenery; props; banners; furniture; etc?) Do you require a person(s) backstage to assist during the program? (Y/N) (Do you require a person(s) backstage to assist during the program? (Y/N) Please indicate any other information that may be helpful to us in accommodating your needs. Orange Hall Theater Program Information Form (text) Event Date: ___________ Check off the equipment you will need. (text) Audio cassette player (text) (text) Electrical extension cords (text) VCR (text) CD/MD player (text) Wireless microphones? H ow many? (How many) (text) Video projector (We do not supply a laptop) (text) Other: (Other) You may indicate where you want to locate microphones, tables, chairs, podium, scenery, etc. on the following diagram. (You may need to print and hand mark your details and forward to the CSO) Any Further Theater Questions Please Contact: Max Schaefer or Peter Galipeau at (845) 341-4790