Facility Use Agreement

Facility Request Form

If you are a Prospective Renter, please fill out all applicable fields and submit this Facility Use Agreement. We will respond regarding the approval of your request as soon as possible. If you do not hear from us within one week, please reach out to us by calling (203)972-185 or by emailing [email protected]

Contact Information
First Last Organization
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Website

Please enter a valid Website URL (e.g. http://www.gravityforms.com).
Date Requested
MM slash DD slash YYYY

We schedule rentals outside of our regular gallery hours. September through June, during exhibitions, our gallery hours are Wednesday through Saturday, 10am-3pm and Sundays, 1-5pm. Mondays and Tuesdays we are available for rentals throughout the day, as the gallery is then not open to the general public.
Date Requested - Second Choice
MM slash DD slash YYYY
Start Time

: Hours

Minutes

AM/PM
End Time

: Hours

Minutes

AM/PM
Purpose of Event
Expected Attendance at Event
Set-up Notes
Equipment Requested
- chairs
- folding tables
- projection screen
Alcoholic Beverages
- will be served
- will not be served

Facility Use Agreement

Facility Request Form

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