Las Positas College
Supplemental Fundraising Event Information
(This form must be included as an attachment in 25Live)
A Certificate of Liability (COL) for the event in the amount of one million dollars naming Las Positas College as the
certificate hold must be attached to this form
1. Title of fundraising event and LPC Sponsor
2. Purpose of the fundraising event
3. Expected fees charged to a participant or team
4. Will non-athletic facilities be used? If so, please specify:
5. Name of organization, athletic club, high school, etc.
6. Total number of participants who are attending and their age group:
7. Total number of observers/parents attending the event:
8. The services you, as the coach/instructor/coordinator, will be providing for
the fundraiser:
9. How will Campus Safety, Custodial Service and M&O fees be covered?
Date:_____________
Signature Approval
_____________________________________
Vice President, Administrative Services