Rental Information

MILLSTONE TOWNSHIP PERFORMING ARTS CENTER 
5 Dawson Court, 
Millstone Township, New Jersey 08535 
gwhalen@millstone.k12.nj.us 

 APPLICATION FOR USE OF THE PERFORMING ARTS CENTER 

Organization:_____________________________________________ Date of Application:____________
Person Responsible:_________________________________________________________________ Address:_________________________________________________________________________                           Email:_____________________________________________ Fax:_________________________
Work Phone:______________________ Home/Cell Phone:_______________________________ 
Applicant is: ___ For-Profit ___501c3 Nonprofit ___501c3 Nonprofit pending ___Individual
__ ST-5 form __ Sales Tax Exemption Form ___Certificate of Insurance Attached
 
Date Requests    Purpose     Curtain Time                                     Theater Use Times
 /  /                performance _________                                 from am/pm to am/pm
/  /                 performance _________                                 from am/pm to am/pm
/  /                 performance _________                                 from am/pm to am/pm
/  /                 rehearsal                                                   from am/pm to am/pm
/  /                 rehearsal                                                   from am/pm to am/pm
/  /                 rehearsal                                                   from am/pm to am/pm
/  /                 rehearsal                                                   from am/pm to am/pm
/  /                 event                                                        from am/pm to am/pm
Number of Persons Expected in Building:_______ Will Admission be Charged?:______
Explain Purpose of Activity: ____________________________________________________ 
Equipment Required: Use form on back & detail any special concerns below: ___________________________________________________________________________ ___________________________________________________________________________ 

This form must be submitted with a non-refundable $10 processing fee (check or money order payable to Millstone Township School District). Send to GIna Whalen, MPAC Managing Director,  18 Schoolhouse Road, Millstone Township, NJ 08510. 
Applicants will receive notification of the availability of the date(s) requested within fifteen (15) working days of the receipt of the application. If the Performing Arts Center is available for the dates requested, you will receive a contract with specific requirements and the fee structure for your rental. 

For a tour of the facility or for additional questions, please contact Gina Whalen at 732-786- 0950 ext. 70003 or gwhalen@millstone.k12.nj.us. 

Signed:_______________________________________________ Date:_________ 


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