Fillable Club Event Request Form

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Club Event Request Form

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The Club Event Request Form form is 1 page long and contains:

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  • 1 check-box
  • 36 other fields

Country of origin: US
File type: PDF

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ASCC
(ADVISOR MUST BE PRESENT FOR ENTIRE EVENT)
Hereby applies for use of the following facilities subject to district rules and regulations and hereby made
part of condition under which permission is granted.
If yes, hard copy of set-up must be submitted to Student Activities and Facilities at least one week prior to event.
***If you need Media Services (i.e.: sound, mics, equipment) your Advisor needs to fill out a Media Services Request form
a minimum of at least three weeks prior to the event. So plan ahead!! The form is found at www.cerritos.edu/mp, click on
“Requests”, then “Service Request”. Once Advisor receives the confirmation a copy of the confirmation must be turned
into Student Activities a minimum of at least one week in advance of the event.
Using Media Services for Event: Yes No
CLUB/ORGANIZATION PRESIDENT AND ADVISOR PLEASE SIGN BELOW:
All individuals, groups or organizations in their use or occupancy of District property shall comply with all laws,
policies and regulations. Failure to comply will result in cancellation of the event by a District Representative and
possible sanctions per the Cerritos College Standards of Conduct.
(APPROVAL IS NOT GRANTED UNTIL SIGNED COPY AND FACILITY
CONFIRMATION IS RECEIVED BY REQUESTOR OR ADVISOR)
Do not complete plans for your event until this form has been approved.
All Publicity must be Approved by the Office of Student Activities Prior to distribution.
Please call Student Activities office Ext. 2473 within 72 hours if activity is to be cancelled.
**Failure to do so may result in penalty fees being charged to the sponsoring club.
THIS FORM MUST BE IN THE OFFICE A MINIMUM OF AT LEAST (4) FOUR WEEKS PRIOR TO THE EVENT!
Requestors Name:
Email:
Advisor(s) Responsible for event:
Email
EXT
***TYPE OF ACTIVITY (banquet, forum, speaker, etc.):
Expected Attendance:
Admission Fee (If Applicable) $
Proceeds used for:
***DATE OF EVENT:
LOCATION:
Event Start Time:
Event End Time:
Event Set-up Time:
am/pm Clean-up Time:
am/pm
***SET-UP REQUIRED:
Yes:
No:
# of Tables Needed:
Chairs:
***Food Sales:
Yes No
Who is preparing food?
Vendor Self/Club
Club President/Designee:
/
Print Name
Signature
Date
Club Advisor:
/
Print Name
Signature
Date
Activity Event
Approval Form
***OFFICE USE ONLY*** STUDENT ACTIVITIES OFFICE APPROVAL SECTION
Request Granted:
Request Denied: By:
Date:
Reason for Denial:
Revised 2015
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Club Event Request Form

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Completed 19 March 2020

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