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East Campus Provost

Performing Arts Center / Black Box Theater

I understand that this form must be completed and submitted at least 48 hours prior to the event.

* is a required field.

Your Personal Information 
* Full Name: Required
* E-mail: RequiredValid email required
Group Requesting: Required
* Phone: Required
*Mail Code: Required
   
Event Information 
*Event Title Required
*Date of Event Required

*Venue Requested:

 

 

 

Performing Arts Center (PAC)
Black Box Theater
Other
Please Choose a venue.

PLEASE NOTE: The Atrium is not considered part of the PAC or Black Box Theater. If you need to reserve the Atrium, please fill out the East Campus Room Request Form.

*Number of Attendees: Required
*Set-Up Time: Required
*Please allow extra time for catering and special setups
*Actual Start Time: Required
*End Time: Required
A/V Equipment
* Do you want sound recording of your event? Yes    No
* Do you need microphones on stage? Yes    No
* Do you need monitors? Yes    No
* Do you need a piano? Yes    No
* Do you need additional services? Yes    No
A/V Equipment Needed or Special Needs (check all that apply; call 2422 to confirm)
Lectern     Piano    
VCR     Screen    
LCD Projector     Microphone    
Computer/Laptop     Security-Unlock/Lock    
Software Program     Easel/ Flipchart    
Boom Box     Reserve Parking    
Extension Cord            
Sound recording, Monitors, additional services (please call 2226)

* Check box required. I understand and accept that I am responsible for ensuring that all Valencia Community College policies, rules and regulations are adhered to by my group. I further understand that I am responsible for the following:

* Have you contacted Cabin Creek Catering (407) 582-2560?
Yes      No       N/A

Account Code (formerly GL)
PO:

You cannot use the PAC lobby to cater your events. If your event has any catered set-up (Cabin Creek or an outside vendor) you must reserve space outside of the PAC. To reserve the Atrium or any other room, please make sure to fill out the East Campus Room Request Form.

* Have you notified College & Comm. Relations (3122) Marketing & Media Relations (1017)?
Yes      No       N/A

* Have you notified Security (2000) for special needs (IE: reserved parking, buses on campus)?
Yes      No       N/A

 
If you need additional tables for catering or sign-in,
please state this in the comment box below.
Comments or special needs:
You will receive a call from PAC staff within 24 hours of submission (Monday-Friday)