Permission to Film on PCC Property Office of Campus Use C121 Revised 4/24/2015
PASADENA AREA COMMUNITY COLLEGE DISTRICT
Photography Department-Permission to Film on Pasadena City College Property
Office of Business Services-Campus Use Pasadena City College, Room C121
1570 East Colorado Boulevard, Pasadena, CA 91106-2003
PHONE: 626.585.7233 FAX: 626.585.3141 www.pasadena.edu
1. Attach campus map indicating filming area(s).
2. Include a time schedule for filming (below).
3. Have your instructor review and sign. *The instructor must sign before Campus Use will take this form.
4. Bring to Office of Campus Use, C121, at least 10 DAYS prior to your filming date.
FILM LOCATION(S):
*Please list times for each location.
*Please note: all locations inside buildings require the instructor to be present or students must pay for a Campus Police
Cadet to be present for filming.
*Please Attach a Summary of Scenes (is there any running, screaming, fighting, etc?)
How many people? How many are PCC students? How many are not PCC students?
*Non PCC Students are required to sign a Hold Harmless Agreement
List special equipment, props, lighting, electrical outlets to be used:
APPROVED:
Instructor Signature: Print Name: Date:
Comments: Extension:
Other Div/Dept: Print Name: Date:
Comments: Extension:
Campus Use: Date:
Comments:
