Columbia Theatre for the Performing Arts & Fanfare | Southeastern University

Rental Application

Thank you for your interest in the Columbia Theatre for the Performing Arts. Completing and submitting this application is the first step in the booking process. Completion and approval of this application will be followed by a formal Limited License Agreement (contract). All first time applicants are subject to a $25.00 non-refundable application fee. Approval of event and date is not guaranteed.

Click here to review our Rental Policy PDF »

Click here to print this form »

CONTACT INFORMATION
Contact Name *
Organization *
Email *
Street
City/State
Zip
Phone *	( ) -
Fax	( ) -
Authority *	(Person authorized to sign contract.)
PERFORMANCE OR EVENT
Is your organization: Commercial Non-Profit* (Form 501(c)(3) required)
* 501(c)(3) must be held by the organization contracting with Columbia Theatre for the Performing Arts. All other pertinent documentation should reference the same organization.
Performance Title *	Please be exact
Performance Type *	(ie. variety, music, dance, etc.)
Dates Requested *
Ticketed Event?	Yes No
Open to Public?	Yes No
Please provide a narrative describing your event with as much detail as possible:
Event Description*
FACILITY REFERENCES
Please provide the contact information for at least one venue which has been leased by your organization in the past:
Facility Name *
Contact Name
Street
City/State
Zip
Phone *	( ) -

Facility Name
Contact Name
Street
City/State
Zip
Phone	( ) -
BANK REFERENCES
Account Name *
Contact Name *
Phone *	( ) -
Fax *	( ) -

Other Creditor
Contact Name
Phone	( ) -
Fax	( ) -
If you choose to submit via this website, you will also need to mail in your application fee if you are a first time applicant, or you can print and mail both to: Columbia Theatre (Attn: Roy Blackwood), SLU 10797, Hammond, LA 70402.
SIGNATURE
The above information must be provided in full and before a Limited License Agreement can be initiated. It is understood that all applications are presented to the Columbia Theatre for the Performing Arts Screening Committee and may or may not be granted approval. Applicant hereby represents that he/she has made a full and complete disclosure of all information which might be pertinent to the consideration of this application and that all of the statements and information are true and correct. By checking below, applicant hereby authorizes appropriate banking/lending/savings institutions to release applicable account information to the Columbia Theatre for the Performing Arts.

	I agree to these conditions.


	All fields marked with * are required.