ECB Program/Event Proposal Electric City Barn, Inc. offers event and programming spaces for rental and use by the public. All event proposals require a minimum of 30 day advance notice in order to be considered and are not considered valid without express written approval of Electric City Barn staff or directors. Legal Name of OrganizationNot-For-Profit?* Yes No Contact Person* First Name Last Name TitleAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email* Last 4 Digits of Social Security Number or Tax ID Number*Desired date(s)*(if multiple dates/sessions, please list all dates) Time(s)*How long do you need for set up?*How long do you need for clean up?*Desired Location*please check all that apply Stage Downstairs CoWorking Space Mezzanine CoWorking Space Mezzanine Lounge Screen Room Anticipated # of Attendees**Please note that additional unanticipated attendees may result in additional charges to cover logistical cost such as event staffing. Proposed Use*check all that apply Private Party Workshop Arts Educational Program Educational Program (non-arts) Film Screening Rehersal Live Performance (dance/theater) Concert/Music Performance Business/Organization Meeting Informational Presentation/Lecture Do you need tables and chairs?*If yes, indicate how many of each.Will food/beverages be served?*Will alcohol be served?***note that serving alcohol will require a permit.Catered ByPlease provide company, contact name, and phone.Do you have proof of insurance?*If no, can you obtain insurance?Is there a charge for the program/event?*If yes, indicate how much you will charge and if you intend to offer sliding scale prices and/or scholarships. Outline below.Do you have staff/volunteers to run your program/event?***Note: We recommend 1 staff person be present for every 50 event attendees. Please provide a thorough description of your program/event*How will you promote your event/program?* What organizations are you partnered with or would you like to partner with?*please check all that apply Program/event listed on electriccitybarn.org Ticket sales or reservations taken on electriccitybarn.org Vendor deliveries/pick-ups to Electric City Barn for your program/event. Please provide the following information for any vendor pick-up/deliveries:Company/ Contact Name, Phone, Description of items, Schedules Date and Time*Please note all proposals are subject to approval by the Internal Affairs Committee of Electric City Barn, Inc. No public notification of events or programs referencing Electric City Barn, Inc. or The Barn should be made without express written approval of Electric City Barn, Inc. staff or directors. If you have any questions, please e-mail firstname.lastname@example.org or call 518-935-4858 during regular business hours. ** In order to list an event on Electric City Barn website, an appropriate event description and photo must accompany your proposal. Event will not be listed, nor will event date be reserved until deposit and signed contract are received.Please upload any materials relevant to promoting your event.For example: photos, descriptions, logos etc.