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2. Valerie Theatre Street View
   
3. Valerie Theatre Inside
   
5. Hourly Rental Rates
   Please complete this rental application. City staff will review this application and will contact you to follow-up on your request. Questions? This is for use of the auditorium, balcony and lobby only $95 Private Party and Commercial Events $75 Service and Nonprofit Organization Closed Events $50 Government Meetings and Ceremonies Valerie Theatre Plaza $25 per hour in addition to the rates above. Email Valerie@Inverness.gov or call (352) 341-7850.
7. Today's Date
   Today's Date
9. First Name*
10. Last Name*
12. Address1*
14. Address2
16. City*
17. State*
18. Zip*
20. E-mail*
    If we may contact you by email, please provide.
22. Phone Number - Home
24. Phone Number - Cell*
28. Desired Date(s) of Event*

    Please list the date here. Also, if your event is more than one day, please list all dates requester for that event.

30. Describe your event*
32. Set-up Start Time*
    The time you will need to enter the venue to set-up your items. This is the start time of the reservation.
33. Event Start Time*
    The time you are expecting attendees
35. Event End Time*
    The time the attendees will exit the venue
36. Exit Time*
    The time will you no longer need access to the venue and all supplies have been cleared away.
38. Total Hours Requested*

    Set-up Start Time through Exit Time

40. Rental Type*

    1. Private Party or Commercial Event
    2. Service and Nonprofit Organization Closed Events
    3. Government Meetings and Ceremonies
    4. Other
41. Spaces Requested*

    1. Valerie Auditorium, Balcony & Lobby
    2. Stage
    3. Balcony Concession (additional fees apply)
    4. Valerie Plaza & Fountain Area (additional fees apply)
43. Serving Food*

    1. Caterer will serve food
    2. No food at event
    3. Want City to Operate Concession Booth

    If food is brought into the venue, the Renter must provide the caterer’s State of Florida catering license information or provide a Serv Safe license. Venue does not have kitchen or refrigeration available for rent.

44. Serving Alcohol*

    1. Yes
    2. No

    If alcohol is provided or sold at this event, the Renter must submit the State of Florida, Division of Alcoholic Beverages & tobacco temporary license.

     Additionally, the Renter must hire a Citrus County Sheriff Deputy for the hours of the event. Please submit a copy of the detail confirmation to move forward with the rental application approval.

46. Film Equipment*

    1. Yes
    2. No

    Will you require the use of the venue’s film DVD or Blu Ray Player equipment?

47. Presentations (Slide, PowerPoint, Keynote)*

    1. Yes
    2. No

    Will you connect your laptop for a presentation at this event?

    Presentations will appear on venue screen and connect to venue’s sound system automatically through an HDMI cable. Presenter will need to operate the slide presentation via their laptop. It’s recommended that they ensure their laptop has an HDMI port. The laptop will be located in the back of the auditorium. We recommend presenter have a wireless presentation remote to advance the presentation at will.

49. Sound System*

    1. Yes
    2. No

    Will you require the use of the venue’s sound system?

50. Lighting System*

    1. Yes
    2. No

    Do you have any special lighting requests?  

52. Special Effects

    Will you be doing any special effects? Please describe.

    • Glitter, confetti and snow machines are not permitted in the venue.
    • Smoke machines, electronic cigarettes, open flames and smoking are not allowed in the venue.
54. Ticketing Service*

    1. Yes
    2. No

    Do you wish to utilize the City's ticketing services?

    Ticketing Service Fees:

    Tix fees are as follows: $1.25 per ticket priced $0.01 - $9.99 sold online; $1.50 per ticket priced $10.00 and above sold online; $0.25 per ticket priced $0.01 and above sold through the Box Office Ticket Sales program$0.00 fee for tickets priced $0.00

    5% credit card processing fee

    Administrative fee per ticket $1

    Florida sales tax of 6% will also be deducted from the ticket sales

    
    

56. Technology Use --Audio/Visual

    List all equipment and technology that will be used in the venue. Make, model information is helpful. Items not approved prior to rental may not be plugged in to venue’s system.

58. Rehearsals

    Rehearsal Dates Requested? Need all dates with start and end time. Note: Monday and Tuesday the theater is generally closed.

    
    

60. General Liability*

    1. I understand
    2. I do not understand or need more information

    Renter must provide the City of Inverness with a Certificate of Insurance covering general liability at $1,000,000 listing the City of Inverness as additional insured.

62. Notes to City Staff

    Tell us any other considerations or notes regarding your rental request

Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit Submit and Print

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