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*: