EPCC CHEERLEADERS/ TEJANO JACK
APPEARANCE REQUEST FORM
COMPLETION OF THIS FORM IS A REQUEST ONLY AND DOES NOT GUARANTEE AN APPEARANCE.
ALL REQUESTS MUST BE SUBMITED AT LEAST TWO WEEKS PRIOR TO THE EVENT.
INFORMATION
EVENT INFORMATION
Contact Name
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Contact Number Email
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On Site Primary Contact Name On Site Primary Contact Number
____________________________________________________________________________________________________________________
Event Date Event Time Frame
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Event Name
_________________________________________________________________________________________________________
Event Location & Address
_________________________________________________________________________________________________________
City State/ Zip
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Theme Dressing Room/ Water provided
_____________________________________________________________Yes/ No______________________________________
Description (Please specify: Who event benefits?, Other celebrities or Dignitaries)
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
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TYPE OF EVENT (Please Do Not Check Box Office Use)
Paid
CHARITABLE *
*Requires Approval By The Director of Student Leadership and Campus Life
To Be Filled Out By EPCC CHEER Advisor
Approved
Not Approved
Reason________________________________________
______________________________________________
______________________________ ___________
Cheer Advisor Signature Date
The Best Place to Start
Please return this completed form, map and directions to:
Office of Campus Life 100 West Rio Grande Room B-101
El Paso, Texas 79902
-Or-
Fax: 915.831.4124
For more information, call 915.831.4041 or email rhern577@epcc.edu
El Paso County Community College District does not discriminate on the basis of race, color, national origin, religion, gender, age, disability, veteran status, sexual orientation, or gender identity.
REQUEST FOR
EPCC Cheerleaders*
Tejano Jack W/ Assistant
Both*
*Full Team Will Depend On School Schedule Availability
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