Private Rental - Event Reservation Form

Private Rental - Event Reservation Form
Date of Event*

MonthDayYear
Date for your event
Will you be watching a first-run movie or a Blu Ray?*

First-Run MovieBlu RayNo Movie (Professional Development, Corporate Event, Dinner, etc.)
Movie Title*
Desired Time*

Please note our current movie rounds are between 1PM-2PM, 4PM-5PM, 6:30PM-7:30PM.

AM/PM Option
Contact Name*

First NameLast Name
Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Phone Number (if applicable)
Best number to reach you.
Contact Email Address*
Adaptive Needs or Sensory Notes
Closed Captioning Cup Holder, Descriptive Narrative Headsets, Accessible Seating, Service Dogs welcome, etc. If you are booking a private rental in Theater 4 and need accessible seating, please let us know so we can be ready for your arrival.

Food Options (includes pitchers of soda based on your beverage choices)
Would you like to eat before or after the movie?*

Before MovieAfter Movie
# of Cheese Pizza(s):
($25 per cheese pie, 8 slices per pie)
# of Pizza(s) with 1 Topping:
($30 per pie, 8 slices per pie)
Choose topping:

PepperoniSausageMushroom
Cupcakes Qty
Minimum 8 cupcakes, $4 per cupcake. Gluten free & dairy free available by request.

Cupcake Nut-free Facility Flavors:

Additional Info:
Outside food is strictly prohibited. Please inquire regarding guests with allergies.