Queensborough Performing Arts Center

Rental Information

PLEASE FILL OUT THIS FORM AND RETURN TO QUEENSBOROUGH COMMUNITY COLLEGE AS FOLLOWS:
EMAIL: AGIOKAS@QCC.CUNY.EDU | FAX: 718-631-6033
*= Required Fields

*Name of Organization:

*Contact Person:

*Contact Phone Number (where you can be most easily reached):

*Contact Email:

Address of Organization:

Type of Organization (Religious, Cultural, Sporting, Dance, etc.):

*Requested Space:

*Requested Date (s):

Alternate Date (In case your first choice is not available):

Day of the Week:

Requested Hours:

Reason for Rental:

Technical Needs or Special Requests
(sound, lights, projector, risers, music stands, floor covering for the gym, etc.):

Anticipated Number of Attendees:

Supervisors/Professional Staff who will be present:

Has this event been held in the past:

If so, where did the event take place:

What is the reason for you choosing Queensborough to hold your event:

Will you be advertising this event:

If so, how will you be advertising this event:

Do you have Insurance:

Any additional comments:

If you provided your email address, your submission will be acknowledged within two business days.