Event Rentals & Filming

(MM/DD/YY) - Please separate additional dates with a semicolon(;)
Dates book very quickly. Please list several alternate dates in case the calendar is already booked.
Please indicate the alternates with an asterisk (*).
Please note: Requests must be made at least 20 business days prior to the event.

Requester Name:
Phone Number:	( ) - Second three digits Last four digits
Extension:
Email Address:
Confirm Email Address:

Title of Activity:
Description of the Activity:
Facility Desired:	Request a Specific Location on Campus Request a Location by Amenities







Parking Needed?:	Yes No



Date(s) Requested:	(MM/DD/YY) - Please separate additional dates with a semicolon(;) Dates book very quickly. Please list several alternate dates in case the calendar is already booked. Please indicate the alternates with an asterisk (). Please note:* Requests must be made at least 20 business days prior to the event.
Is this a Recurring Event?:	Yes No

Time Preparation Starts:	Estimated start of load in or set up for the event.
Time Event Starts:	Official start time of the event.
Time Event Ends:	Official end time of the event.
Time Clean Up Ends:	Estimated completion of clean up or break down.
Expected Attendance:
Will the Event be Open to the Public?:	Yes No
Will You be Charging an Admission Fee?:	Yes No

Will the Event Require Security?:	Yes No
Will an Elected Official be in Attendance at the Event?:	Yes No

Will the Event Feature a Guest Speaker or Performer?:	Yes No

Do you Plan to Serve Food or Drinks?:	Yes No




Do You Plan to Sell Non-Food Items?:	Yes No

Do you agree to return facilities to their original state in order to qualify for a waiver of custodial fees?: I Agree Failure to restore facilities to the original state will necessitate payment of $35.00 per hour payable to LACC, no later than 48 hours after the event.
Do You Need Furniture or Equipment for Your Event?:	Yes No Such as tables, chairs, microphones, speakers, or extension cords.





















Will the Event Patrons Require WiFi Access?:	Yes No


Notes or Additional Requests:
Would You Like for This Event to Be Advertised on the College Website?:	Yes No

Los Angeles City College

Facilities Request Form

Please note:

Your Information:

Event Information:

If the Form Does Not Submit