19
Hopkins Pavilion
Dry Floor Rental And Event Reservation Form
*PLEASE FILL OUT THE FORM AS COMPLETELY AS POSSIBLE
Name of Applicant ________________________________________________________
Name of Organization (if applicable) _________________________________________
Address ________________________________________________________________
City _____________________________________ State______ Zip Code____________
Home Phone:( )
Work Phone:( )
Fax:( )
Email:
Event Supervisor/Contact____________________________Phone__________________
Dry Floor(Arena) Rental
Date(s) of
Rental
Title of Event
Start
Time for
Set-up
Event
Start
Time
Event
End
Time
End Time
for Take-
down
Number in
Attendance
Rental
Rate (refer
to page 4)
Additional Room Rental
Date(s) of
Rental
Room requested (please
indicate a second choice if
applicable)
Title of Event
Start
Time for
Rental
End Time
for
Rental
Number in
Attendance
Rental
Rate (refer
to page 5)
Please indicate how you would like the room(s) set-up, be sure to include the number of tables and chairs needed and the
arrangement wanted (a diagram is acceptable):
(OVER)
20
Requested Equipment: On A first come first served basis (prices noted are per day)
0
Television with VCR/DVD no charge
0
Overhead Projector
$5.00
0
Multi-media Projector
$10.00
0
Lecture/Podium
no charge
0
Coat Rack
no charge
0
Flip Chart with paper
$5.00
0
Display Easel(s)
$3.00 each
0
Food Warmer (6 cu.ft.)
$10.00
0
Refrigerator (6 cu.ft.)
$10.00
Requested Services: Must be approved by Pavilion Management (see page 6 for more
details)
0
Additional Electrical Service
$10 set-up, $2 per outlet
0
Equipment Rental Service
estimates upon request
0
Event Staffing and/or Security________
$20 per person/per hour
0
Building Modifications
estimates upon request
0
Administrative Services
estimates upon request
For all events or activities:
Is your event or activity open to the public?
Yes No
If yes, Will admission be charged?
Yes No
Will advance tickets be sold?
Yes No
Will your event be catered?
Yes No
If yes, please provide the name, address, and phone number of the caterer.
Will alcohol be served?
Yes No
If yes, What are the hours alcohol will be served? Starts________ Ends________
How will it be served?
Cash Bar (Pavilion approved liquor caterer only)
We will purchase and serve (for events that are
invitation only)
Please detail any special requirements or information pertaining to your rental at the Hopkins Pavilion:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
After form is completely filled out please drop off, mail (11000 Excelsior Blvd., Hopkins,
MN 55343), or fax (952-979-0446) your form back to the Hopkins Pavilion along with
appropriate payment/deposit (see page #2) to reserve your rental date. Make checks
payable to: Hopkins Pavilion. For more information please call Don Olson at (952) 548-
6392.
For credit card payments/deposits please provide the following information.
Visa
MasterCard Exp. Date ___ ___/___ ___
Amount:
Card Number ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Signature _________________________________ Print Name __________________________
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