If you’re interested in renting a gallery or studio space, please fill out and submit the online form below.

Full Name*:

Date*:
YYYY-MM-DD format (e.g. 2013-04-08)

Address*:

City*:

State*:

Zip*:

Phone*:

Email*:

Business Name*:

Space Desired (Gallery, Studio, Classroom)*:

I will utilize this space to*:

Total number of people in space*:

Monthly Rate Desired*:

Maximum Monthly Rate*:

Special Disability Requirements*:

Plumbing Requirements*:

Do you need special support for heavy equipment?*
YesNo

What materials will you be using?*

Are any of these materials hazardous?*
YesNo

If yes, please specify:

Is special ventilation required/necessary?*
YesNo

If yes, please specify:

Please write a statement telling us why you want to be at the Emerson and how you could contribute to the Emerson*: