Facility Rental Application

Contact Name (person responsible for the event): _________________________________________
Phone: ___________________________________________________________________________
Email: ____________________________________________________________________________
Person Running Event (if different from contact): __________________________________________
Phone: ___________________________________________________________________________
Email: ____________________________________________________________________________
Name of Event: ____________________________________________________________________
Date(s) of Event: ___________________________________________________________________
Description of Event: ________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Estimated Number of People Attending Event: ____________________________________________
Event Start Time: ___________________________________________________________________
Event End Time: ___________________________________________________________________
Event Requirments:
_____ # of chairs (max. 50)        _____ sound system        _____ tables (How many? _____)                    _____ piano                     _____ projector
_____ projection screen             _____ microphone

Special Requests or Instructions: ______________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Please email your completed application to wadehair@breakthroughtheatre.com or mail it to:

Breakthrough Theatre of Winter Park
419A/421 W. Fairbanks Avenue
Winter Park, FL 32789



Rental Rates:
$100.00 per hour 
PLUS $15.00 an hour for onsite manager