6/14/18
THEAPPLICANTAGREESTHATTHEUSEOFCOLLEGEFACILITIESSHALLBEINACCORDANCEWITHTHERULESANDREGULATIONSOFTHE
BOARDOFTRUSTEESOFTHEDISTRICTASSTIPULATEDINGOVERNINGBOARDPOLICYNO6700.NOTICETOAPPLICANT:FacilityFeesand
StaffingchargeswillapplyaccordingtotheFeeScheduleontheLPCFacilityRentalwebsite.Reques
terwillobserveandobeyallGuidelines
forRentalofFacilitiesontheLPCFacilityRentalwebsite.Thisisanapplicationforuseonly.Youwillreceiveconfirmationofuseandinvoice
underseparatecover.Paymentisdueuponreceiptofinvoice.
CERTIFICATEOFLIABILITY:ACertificateofLiability(COL)isrequiredforallfacilityrentals intheamountof$1
millionnamingLasPositas
CollegeastheCertificateHolder.
COLLEGEFACILITIESUSEAGREEMENT
LASPOSITASCOLLEGE
3000CAMPUSHILLDR.,LIVERMORE,CA94551
925.424.1631
Organization_______________________________________________________________________________
RequesterName_________________________________________Phone____________________________
EMail____________________________________________________________________________________
BillingAddress/City/Zip_____________________________________________________________________
EventTitle/Description______________________________________________________________________
__________________________________________________________________________________________
RESERVATIONDATE(S) ENTRYTIME STARTTIME EXITTIME
____________________________ ______________ ______________ ______________
____________________________ ______________ ______________ ______________
____________________________ ______________ ______________ ______________
____________________________ ______________ ______________ ______________
FACILITYREQUESTED
Gymnasium SyntheticField SwimmingPool(s) LockerRooms
MainTheater BlackBoxTheater DressingRooms ConcessionStand
LectureHall Classroom(s) Cafeteria ParkingLot(s)
Other______________________________________________________________________________
AthleticorTechnologyEquipmentRequirements__________________________________________
___________________________________________________________________________________
RequesterSignature__________________________________________Date__________________________
NUMBER OF ATTENDEES: ________________________