Campus Use Change of Reservation/Cancellation Form Revised 4/2015
PASADENA AREA COMMUNITY COLLEGE DISTRICT
CHANGE OF RESERVATION/CANCELLATION FORM
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
PLEASE FILL OUT ALL APPLICABLE AREAS:
Original Venue: New Venue Requested:
Original Date: New Date Requested:
Original Times: New Times Requested:
Original # Tables/Chairs: New # Tables/Chairs:
Original Staging Needs: New Staging Needs:
Comments:
Name of Organization
Contact Person
Phone Number
Email Address
Date of Event
Name of Event
Reason for Cancellation:
Signature of Requestor Date
CAMPUS USE STAFF TO COMPLETE:
Updated on George
Permit Updated
Updated on 25Live
Clearing House Updated
Floor Plan Updated
Sent Update to Facilities,
Staging Services & Campus Police
Received by: Date: