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Lyceum Equipment Registration
  
 

(Please complete three weeks prior to event.)

GENERAL INFORMATION
Event:
  
Event Date:
  
Time Reserved:
  
Event Time:
  
Sponsoring Group:
  
Billing Code:
  
Event Est. Length:
  
Contact Person:
  
Contact Telephone:
  
Type of Event:
  

AUDIO/VIDEO MULTI-MEDIA
EQUIPMENT
NEEDED?
LOCATION - REQUIRED IF NEEDED
ADDITIONAL SPECIFICATIONS
Microphones:
  NA
    
Video Projector:
 
 
VCR:   Control:    
DVD:   Control:    
PC Laptop :    
Laptop Audio:    
Overhead Projector:    
Internet Connection:    
Elmo Document Camera:    
Monitor Speakers*:    
Mixers:    

EQUIPMENT NEEDED
EQUIPMENT
 QUANTITY
LOCATION
ADDITIONAL SPECIFICATIONS
Podium:
  
   
 
Upright Piano:
  
 
 
Chairs:      
Conductor Platform:      
Tables:      

STAGING INFORMATION
ITEM
NEEDED?
SPECIFICATIONS
Portable Staging:
 Location: 
Amount:
Width:
Depth:
   ft.
  ft.
Height:  inches
Choir Risers*:
    
* $25 set up/tear down fee
**If staffing is required an additional fee will be billed at the student labor rate.

OTHER INFORMATION
Please enter any additional information in the text area below.
 

Contact E-mail (REQUIRED):   

Remember you must enter a full e-mail address to submit this form.
Please complete the foyer and stage set-up maps to illustrate positioning of equipment.

 


Wartburg College - 100 Wartburg Blvd. - Waverly, IA 50677 - (800) 772-2085