Title of Activity: _____________________ Organization: _______________ Responsible Person: ___________________________ Director: __________________________ Phone: ____________ email: __________________ Phone: ____________ email: _________________ Rehearsal Dates: ______ _______ Start Times: _______ ________ End Times: ______ ______

______ _______ _______ ________ ______ ______ (Circle One) Open Rehearsal Closed Rehearsal Show Dates: ____ _____ _____ _____ _____ Time Needed In Building _____ _____

Time Doors Open: _____ _____ Time Out: _____________ Approx. # Involved: ___________ Approx. # in Attendance: __________ Seating Capacity 1053 Staging Requirement: (Circle One) In Front of Main Curtain In Front of Mid Black Full Stage Orhchastra Pit Removal Equipment Needed:

# Of Wireless Handheld Microphones Needed: _____ # Of Wireless Headset Microphones Needed: _____ (Circle All That Apply) Projection screen DVD Player CD Player Podium Grand Piano Laptop Choral Risers Shell Band Risers Follow Spot(s) 1 or 2 General Lighting Theatrical Lighting Extra Rooms: (Circle All That Apply) Green Room Classrooms (please note Rm. #s) _____ _____ _____ _____ Tables: Lobby _______ Stage _______ Chairs: Lobby _____ Stage _____ Cafeteria *Kitchen *Kitchen use only after SUHSD Food Services Director Initials_______________ (May incur additional fees) Signature of responsible person (Agrees to comply with Regulations and Restrictions form) ____________________________________ _____________________________ Approval Signature (Site Administrator)

Shasta Union High School District User Application David Marr Theater

2200 Eureka Way Redding CA 96001 kwion@suhsd.net (530) 241-3261 fax 530-225-8480

*Office Use Only* Date Rcd: _____________ Rcd By: _______________ No Schedule conflict: ______

Regulations and Restrictions for Use of David Marr Auditorium

1. No one may use the auditorium without an Application for Use Form and Hold Harmless Agreement completed and

approved by a District representative, and a copy of user’s Liability Insurance Binder on file.

2. The person indicated on the application as “Responsible Person” or “Alternative Responsible Person” must be present at all times. NO EXCEPTIONS. It will be this person’s responsibility to make sure regulations and restrictions are enforced.

3. Additional requests for rooms, equipment or manpower other than indicated in “Application For Use” form can only be

made by the “Responsible Person” or “Alternative Responsible Person” listed on the form. NO EXCEPTIONS.

4. The consumption or possession of alcoholic beverages on District property is strictly PROHIBITED.

5. Shasta Union High School District campuses are SMOKE-FREE. Smoking on District property and in its buildings is

strictly PROHIBITED.

6. Food and drinks are NOT ALLOWED in the foyer, hallways, auditorium, or on the stage at any time, including rehearsals. This policy is to be enforced by the “Responsible or Alternative Responsible Person”.

7. Refreshments may only be served and consumed in the cafeteria. It is the user’s responsibility to enforce this

restriction.

8. Use is authorized only for area(s) specified in the “Use Application” plus associated hallways and restrooms.

9. The auditorium personnel and custodians are representatives of the District and are in authority.

10. Groups using the auditorium must realize the Auditorium technician hired by the District is not professionally trained. Professional results are not to be expected.

11. Changes in lighting, curtains, and stage rigging shall be done by or with approval and under direct supervision of District

auditorium personnel.

12. Operation of District lighting and sound systems shall be done by District personnel only. No one is allowed in control booth except by approval and presence of the auditorium personnel.

13. Painting or building of sets shall be done on stage or in an area approved by District auditorium personnel. Clean up of

painting and set construction is the responsibility of the user.

14. Heat/cooling will be provided if determined necessary by District personnel in charge.

15. The auditorium lighting system is adequate. Additional or substitute lighting by others will not be allowed.

16. 50% of the rental and security deposits are due at time of booking. The remaining 50% must be received by the Shasta Union High School District Office no later than 10 days before the event or face cancellation by the District, and user agrees that they forfeit their deposit if cancellation occurs. If an event is scheduled within 10 days prior to the event 100% of fees are due at time of booking.

17. User agrees to forfeit the deposit if the user does not give at least a 48-hour advance notification of cancellation.

18. Most vocal and instrumental groups have found the auditorium sound system inadequate. User furnished sound

systems are acceptable but cannot be interconnected in any manner to the auditorium equipment.

19. Facility and related costs must be paid in advance and received by the Shasta Learning Center Main Office no later than 48 hours before event or face cancellation by District, and user agrees that they must pay estimated costs if cancellation occurs.

20. User agrees to pay estimated costs if the user does not give at least a 48-hour advance notification of cancellation.

21. User agrees to pay for breakage and/or damage of any District equipment, facility, or property.

22. User agrees to pay for breakage and/or damage of any District equipment, facility, or property.

23. Please sign below that users have read and understand rules and regulations above.

Responsible Person ________________________Alternative Responsible Person__________________________

Hold Harmless Shasta Union High School District

1. Name of Applicant

(Organization, Group, Individual)

2. Address of Applicant 3. Representative: 4. Facilities Requested: Location/Address Building/Room/Grounds/Special Facilities: 5. Dates of Intended Use

DECLARATION OF APPLICANT 1. Nature or type of intended use: 2. Applicant has received or will receive for the activities herein listed contributions, cash collections, registration fees, admission fees, tuition, donations, or other receipts estimated in amount of $ __________. If no receipts anticipated for these activities check here, ( ) 3. Receipts set forth in item 2 above will be used for: 4. I, the undersigned, hereby certify that I will be personally responsible on behalf of the applicant for any damages sustained by the school building, furniture, equipment, or grounds occurring through the occupancy or use of said building and or grounds by the applicant, normal wear and tear excepted, 5. I hereby certify that I have received and read the rules, regulations, conditions, terms and that I and the applicant which I represent, will abide by them and will conform to all applicable provisions of the Constitution and laws of California and to all other rules and regulations of the Board of Education and its authorized agents which may be communicated to the applicant and to the best of my knowledge the school property for use of which this application is hereby made will not be used for the commission of any crime or any act which is prohibited by law. 6. It is agreed that in the event this permit is canceled by the applicant no refund will be made and that changes in date or extension of time shall be made only as specified by the rules governing use of school facilities, 7. In executing this declaration I certify that I have been duly authorized by the herein set forth applicant to act in its behalf in making application for use of said facilities.

HOLD HARMLESS & INDEMNIFICATION AGREEMENT

THE UNDERSIGNED AGREES TO DEFEND, INDEMNIFY AND HOLD HARMLESS THE SHASTA UNION HIGH SCHOOL DISTRICT, ITS BOARD OF TRUSTEES, AGENTS AND EMPLOYEES, INDIVIDUALLY AND COLLECTIVELY, FROM AND AGAINST ALL COSTS, LOSSES, CLAIMS, ACTIONS, AND JUDGMENTS ARISING FROM PERSONAL INJURIES, PROPERTY DAMAGE OR OTHERWISE, REGARDI J~SS OF CAUSE, THAT MAY ARISE IN ANYWAY FROM OR BE ALLEGED TO BE CAUSED BY THE UNDERSIGNED'S USE OR OCCUPANCY OF DISTRICT FACILITIES, FURNITURE OR EQUIPMENT, THE UNDERSIGNED FURTHER AGREES TO PROVIDE A CERTIFICATE OF INSURANCE FOR LIABILITY COVERAGES SATISFACTORY TO THE DISTRICT

Signature of Representative Date Address Telephone ( ) ______________ RECOMMENDATIONS/APPROVAIS FOR THE USER Legal Name: Address: (Please Print) (Please Print) Authorized Agent: Phone: ( )__________________________

(Signature) FOR THE SCHOOL DISTRICT: Authorized Agent: Title: _________________________________

(Signature) Date: ___________________

Dates of Use Days of Use Hours of Use Persons in Charge Description of Activity Estimated Attendance

The David Marr Theater Billing Non-Profit Rental Sheet

Customer Name: _________________________________________________________________________________________________ Normal Hours of use Address: _______________________________________________________________________________________________Overtime Hours of Use City: ___________________________________________ State: _______________ Zip: _________________ Total Hours of use Phone: _________________________________________ Event Dates: ____________________________________________ Theater Description Unit Price Total Hourly # Increments Normal Overtime

Theater Rental, 4 hr min. increments normal hrs No Charge xx $ ____________

Theater Rental, 4 hr min. increment overtime hrs xx $ 26.00 $ ____________ Refundable Security Deposit, full day $144.00 $ ____________

Refundable Security Deposit, 4 hour $ 53.00 $ ____________

Classrooms/Green rooms per room (flat rate for any time period) $ 12.00 $ ____________

Labor Costs Hours Normal Overtime Theater Manager* ________ $20 $30 $ ____________

Technician, light ________ $20 $30 $ ____________

Technician, sound ________ $20 $30 $ ____________

Technician, backstage ________ $20 $30 $ ____________

Technician, microphone ________ $20 $30 $ ____________

Custodian per hour* ________ $25 $35 $ ____________

Security “Per Contract”, per req. by user billed directly to user Equipment Costs, Optional and to be determined by scope of production Piano acoustic (included in rental) $ $ ____________

Piano – Yamaha digital, high school students & adults, move and tuning as needed $100.00 $ ____________

Piano tuner – acoustic if requested $ 80.00 $ ____________

Risers per each 4’ X 8’ riser $ 10.00 $ ____________

TV / VCR $ 10.00 $ ____________

Overhead Projector $ 10.00 $ ____________

Video Projector $ 50.00 $ ____________

Lighting System Basic Rig: Includes side cove lighting & work lights (included in rental) $ $ _____________

Full Rig: Includes Basic Rig + stage lights $450.00 $ _____________

Gel Sheet for stage lighting (user pays actual cost) $ 6.50 $ _____________

Moving Lights per day $250.00 $ _____________

Scrollers per day $ 50.00 $ _____________

Spot Lights per light $ 25.00 $ _____________

Basic Sound: includes 2 handheld wireless mic’s (included in rental) $ $ _____________

Additional Mic’s $ $ _____________

Batteries needed for mic’s (user pays actual cost TBD by scope of production) $ $ _____________

Premium Sound System (wired/wireless mic’s, monitors, mixing console, sound process equip.) $350.00 $ _____________

*Required for performances Sub Total $ _____________

Minus Security Deposit $ _____________

TOTAL COST FOR USE OF DAVID MARR THEATER $ _____________ To Book the Theater, the following are needed: Proof of Insurance: $1,000,000.00 Liability with Shasta Union High School District named as an additional insured. 50% of rental and any security deposits, the other 50% due 10 days before the event. Signatures: ______________________________________ ________________________________________________________

Theater Manager Customer

Please Not 1. Custodial and grounds services must be performed by SUHSD staff. 2. Cost is based on normal usage. If your group leaves the facility in a condition requiring additional cleaning, you will be billed extra for that service. 3. There will be no charge for cancellation with 48 hours advance notice. 4. If you have any questions, please ask. We want to help make your event successful.

The David Marr Theater Billing For-Profit Rental Sheet

Customer Name: _________________________________________________________________________________________________ Normal Hours of use Address: _______________________________________________________________________________________________Overtime Hours of Use City: ___________________________________________ State: _______________ Zip: _________________ Total Hours of use Phone: _________________________________________ Event Dates: ____________________________________________ Theater Description Unit Price Total

Theater Rental, 4 hr minimum, includes theater manager $133.00 $ ____________

Full 8 hour day, includes manager $ 360.00 $ ____________ Refundable Security Deposit, full day $180.00 $ ____________

Refundable Security Deposit, 4 hour $ 67.00 $ ____________

Classrooms/Green rooms per room (flat rate for any time period) $ 18.00 $ ____________

Labor Costs Attendant(s)* $ 25.00 $ ____________

Custodian per hour* (stand by) $ 25.00 $ ____________

Kitchen Attendant** $ $ ____________

Security “Per Contract”, per req. by user billed directly to user Theater Manager* up to 4 hours or 8 hours (included in rental) $ ____________ Hourly overtime (time & one-half) applies to custodial & theater manager only $ 35.00 $ ____________

Optional Equipment Costs Piano acoustic (included in rental) $ $ ____________

Piano – Yamaha digital, high school students & adults, move and tuning as needed $100.00 $ ____________

Piano tuner – acoustic $ 80.00 $ ____________

Piano tuner – Yamaha digital $ 80.00 $ ____________

Risers per each 4’ X 8’ riser $ 10.00 $ ____________

TV / VCR $ 35.00 $ ____________

Overhead Projector $ 25.00 $ ____________

Video Projector $100.00 $ ____________

Lighting System Basic Rig: Includes side cove lighting & work lights (included in rental) $ $ _____________

Full Rig: Includes Basic Rig + stage lights $450.00 $ _____________

Gel Sheet for stage lighting (user pays actual cost) $ 6.50 $ _____________

Moving Lights per day $250.00 $ _____________

Scrollers per day $ 50.00 $ _____________

Spot Lights per light $ 25.00 $ _____________

Basic Sound: includes 2 handheld wireless mic’s (included in rental) $ $ _____________

Additional Mic’s $ $ _____________

Batteries needed for mic’s (user pays actual cost TBD by scope of production) $ $ _____________

Premium Sound System (wired/wireless mic’s, monitors, mixing console, sound process equip.) $350.00 $ _____________

*Required for performances ** Needs approval from SUHSD Food Services Director ONLY Sub Total $ _____________

Minus Security Deposit $ _____________

TOTAL COST FOR USE OF DAVID MARR THEATER $ _____________ To Book the Theater, the following are needed: Proof of Insurance: $1,000,000.00 Liability with Shasta Union High School District named as an additional insured. 50% of rental and any security deposits, the other 50% due 10 days before the event. Signatures: ______________________________________ ________________________________________________________

Theater Manager Customer

Please Not 1. Custodial and grounds services must be performed by SUHSD staff. 2. Cost is based on normal usage. If your group leaves the facility in a condition requiring additional cleaning, you will be billed extra for that service. 3. There will be no charge for cancellation with 48 hours advance notice. 4. If you have any questions, please ask. We want to help make your event successful.

Board of Trustees Kristen Schreder

James M. Schwerdt Constance Pepple Mike Wharton Jr.

Bev Stupek

Superintendent Jim Cloney

2200 Eureka Way, Suite B, Redding, California 96001 (530) 241-3261 Fax (530) 225-8499

2014-2015 School Year To Whom It May Concern: The Shasta Union High School District has updated the insurance requirements for facility use on our sites. Please review the following and submit the corrected or additional insurance paperwork.

1) Commercial General Liability or Personal Liability has a minimum limit of $1,000,000 each occurrence/$2,000,000 general aggregate

2) Additional Insured Endorsement: This endorsement must name the Shasta Union High School District, it’s elected or appointed officials, employees, agents and volunteers as Additional Insured under the general liability policy. Forms CG2026 or CG2011 or equivalent required.

3) Evidence of Primary Insurance (either by endorsement or the actual page(s) of the policy typically found in the “Other Insurance” section of the policy): Applicants insurance shall be primary insurance as respects to the Shasta Union High School District, it’s elected or appointed officials, employees, agents and volunteers. Any insurance or self-insurance maintained by the Shasta Union High School District, its elected or appointed officials, employees, agents and volunteers shall be excess and shall not contribute with it.

Insurance forms may be mailed to:

Shasta Union High School District Attn: Kat Wion

2200 Eureka Way Suite B Redding, Ca 96001

Sincerely, Kat Wion SUHSD Receptionist