Organization Information Organization Hosting Event: * Street Address: * City: * State: * -- Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: * Website: Organization Status: * -- Select -- Business Non-Profit 501c3 Other LBCC Department Sponsoring Event: Contact Information Contact Name: * Work Phone: * Mobile Phone: Email Address: * Event Detail Event Title: * Event Description: * Facility Facility Request: Athletic Facilities Aquatic Center (Pool) Swimming Short Course Swimming Long Course Water Polo Diving Baseball Field Hall of Champions (Large Gym) Basketball Court Regulation Size Basketball Court Non Regulation Volleyball Court Regulation Volleyball Court Non-Regulation Sand Volleyball Courts (5 Courts) Court 1 Court 2 Court 3 Court 4 Court 5 Small Gym Basketball Court Regulation Size Basketball Court Non-Regulation Volleyball Court Regulation Volleyball Court Non-Regulation Other Soccer Field West Field East Field (Lighted) Softball Field Tennis Courts & Futsal Courts Tennis Courts Futsal Courts Veterans Stadium Track Football Field Only (No spectators) Stadium (Exclusive Use) North Grass Field (Track Events) Parking Lot Campus Facilities (Please provide details about the requested facility in the box below.) LAC - Classroom LAC - Lecture Hall LAC - Multi-Purpose Rooms & Conference Rooms LAC - Open Space LAC - Parking Lot(s) PCC - Classroom PCC - Lecture Hall PCC - Multi-Purpose Rooms & Conference Rooms PCC - Open Space PCC - Parking Lot(s) Facilities Details: * Event Times Event Date: * Event Time: * Multiple Dates and Times Multiple Event Dates and Times Detail: * Setup Date: * Setup Time: * Teardown Date: * Teardown Time: * Attendance Estimated Attendance: * Event Attendees: * Event Admission Fee: Event Participation Fee: Parking: * Event attendees will pay LBCC per parking space Prepay spaces for event parking Event Information Open to the Public: Yes No Set-up Needed: Yes No (e.g. tables, chairs, stage. Will require a Set Up Request Form) Audio/Visual Equipment Needed: Yes No (Will require an IT ticket) Food and/or Drinks Served: Yes No (i.e. free of charge) Food and/or Drinks Sold: Yes No Alcohol Served/Sold: Yes No Vehicles (Un)Loading on Main Campus: Yes No (Not including parking lots) VIPs/Dignitaries in Attendance: Yes No (e.g. Trustees, City Officials, etc.) Scoreboard: Yes No Detailed Explanation: * Additional Event Information Additional Event Information: I confirm that the above responses are true, complete, and correct. I assume responsibility and liability for any inaccurate or incomplete information provided. I understand that my event is unconfirmed until receipt of an LBCCD permit. Submit Clear
