Reservation Request Form

Interested in utilizing the Richardson Performing Arts Center for your next event? Simply follow the steps below to begin the process!

1. RPAC Policy (PDF) – Read the rules, regulations and facility charges for using RPAC

2. Equipment Rental Fee Schedule (PDF) – Review fees and availability for additional equipment use

3. Reservation Request Form – Fill out this online form to request use of RPAC

Staff Requirement

You will be required to pay for a RPAC Technical Services staff member to be present during the duration of your rental. You'll pay an hourly rate of $45.00 (per day).

Event Information

Name of Event
Date of Event (ex. 05-13-2012)
Time Event Begins (ex. 9:30 AM)
Time Event Ends (ex. 9:30 AM)
Multiple Performances
If multiple performances, please list dates and times

Contact Information

Last Name
First Name
Street Address
City
State
Zip Code
E-mail Address
Phone (Please include area code)
Organization
Expected Attendance

Base Rental

Auditorium	4 hours (or less) Full day
Lobby (If serving food or drink, a refundable deposit required)

Audio/Video Requests

Audio Visual Screen (25' permanently hung)
Podium
Sound System	Up to 3 channels/mics (included) More than 3 channels/mics
Microphone(s)	Quantity
Microphone Cable(s) - 25'	Quantity
Wireless Handheld Microphone(s)	Quantity
Wireless Lavalier Microphone(s)	Quantity
DI Box(es)	Quantity
Grand Piano (6' 11" Model B Steinway)
Piano Tuning
Orchestra Shell
Choral Riser(s) - Per Section
Spotlight(s) (575W - Per Performance)

Equipment Requests

Rectangular Table(s) 6 x 2 ft.
Rectangular Table(s) 6 x 2.5 ft.
Rectangular Table(s) 8 x 2.5 ft.
Round Table(s) - 72"
Skirting
Chair(s)	Quantity
Easel(s)
Dry Erase Board(s)
Flip Chart(s)
Theater Rope and Stands

Additional Requests or Comments

Policy

I have read and agree to the rules and regulations set forth in the Richardson Performing Arts Center Policy.

Signature

In consideration of my entry being accepted I, intending to be legally bound, do hereby waive, release, and forever discharge any and all rights and claims for damage which hereafter occur to me against Southwestern College, and all sponsors, volunteers for any injuries suffered by me against this event.

By typing my name in the Signature textbox below and submitting this online form I certify under penalty of perjury that all information provided is correct and complete and I agree to the terms and conditions of the waiver stated above.

Signature:

Date:

Southwestern College is committed to a policy of nondiscrimination on the basis of race, color, gender, age, religion, national origin, handicap, or other nonmerit reasons, in admissions, educational programs or activities, and employment, all as required by applicable laws and regulations. Responsibility for coordination of compliance efforts and receipt of inquiries, including those concerning Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973, has been delegated to the vice president for business affairs, Christy Administration Building, Southwestern College, 100 College Street, Winfield, KS 67156-2499, (620) 229-6000. Southwestern College complies with the Crime Awareness and Campus Security Act of 1990. The yearly report is available from the dean of students upon request. Race and ethnic origin information is voluntary and will not be used in a discriminatory manner.