Fillable CollegeFacilitiesUseAgreement - LPC College Facilities Use Agreement

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CollegeFacilitiesUseAgreement - LPC College Facilities Use Agreement

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6/14/18

THEAPPLICANTAGREESTHATTHEUSEOFCOLLEGEFACILITIESSHALLBEINACCORDANCEWITHTHERULESANDREGULATIONSOFTHE

BOARDOFTRUSTEESOFTHEDISTRICTASSTIPULATEDINGOVERNINGBOARDPOLICYNO6700.NOTICETOAPPLICANT:FacilityFeesand

StaffingchargeswillapplyaccordingtotheFeeScheduleontheLPCFacilityRentalwebsite.Reques

terwillobserveandobeyallGuidelines

forRentalofFacilitiesontheLPCFacilityRentalwebsite.Thisisanapplicationforuseonly.Youwillreceiveconfirmationofuseandinvoice

underseparatecover.Paymentisdueuponreceiptofinvoice.

CERTIFICATEOFLIABILITY:ACertificateofLiability(COL)isrequiredforallfacilityrentals intheamountof$1

millionnamingLasPositas

CollegeastheCertificateHolder.

COLLEGEFACILITIESUSEAGREEMENT

LASPOSITASCOLLEGE

3000CAMPUSHILLDR.,LIVERMORE,CA94551

925.424.1631

Organization_______________________________________________________________________________

RequesterName_________________________________________Phone____________________________

E‐Mail____________________________________________________________________________________

BillingAddress/City/Zip_____________________________________________________________________

EventTitle/Description______________________________________________________________________

__________________________________________________________________________________________

RESERVATIONDATE(S) ENTRYTIME STARTTIME EXITTIME

____________________________ ______________ ______________ ______________

FACILITYREQUESTED

Gymnasium SyntheticField SwimmingPool(s) LockerRooms

MainTheater BlackBoxTheater DressingRooms ConcessionStand

LectureHall Classroom(s) Cafeteria ParkingLot(s)

Other______________________________________________________________________________

AthleticorTechnologyEquipmentRequirements__________________________________________

___________________________________________________________________________________

RequesterSignature__________________________________________Date__________________________

NUMBER OF ATTENDEES: ________________________

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Completed 17 November 2019

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