The information you provide in this application will be used to determine if space is available for rent. Requests should be
made no later than 10 days in advance of rental date. Please allow 2 business days for a response to your request.
Please fill out form completely and see the return options below:

DATE:

1. RENTER - INDIVIDUAL, ORGANIZATION OR COMPANY

Name:

Mailing Address:

City:

State:

Zip code:

Are you a 501(c)3? (click one): YesNo

Federal Tax ID #:

Contact Person:

Contact Phone #:

Contact Fax #:

Contact Email:

Contact Website:

2. REQUESTED DATE(S)

1)

2)

3)

3. SCHEDULE (total time in studio/theater):

Arrival Time:

Event Start Time:

Departure Time:

Event End Time:

4. TYPE OF EVENT (check one):

THEATER PERFORMANCESTUDIO REHEARSALAUDITIONSPECIAL EVENTWEDDINGOTHER

OTHER (DESCRIPTION)

5. ATTENDEES: Indicate total number of expected attendees/guests

6. FEE: Will you charge an admission, ticket fee, or donation fee for this event?: YesNo

7. HOW DID YOU HEAR ABOUT US?(check one):

WORD OF MOUTHATTENDED AN EVENT AT HSASOCIAL MEDIA/NEWSLETTERADVERTISEMENT

To Submit Completed Rental Request Form:
By Mail: Send to Rentals Manager, Harlem School of the Arts, 645 Saint Nicholas Ave. NY, NY 10030
By Email: Scan completed form and email to rentals@hsanyc.org
By Fax: Fax completed form to 212-926-8653 (no cover sheet necessary)

Please be advised that we do not rent space for the purpose of private or group classes.

Please prove you are human by selecting the cup.

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