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East Campus Provost

Performing Arts Center / Black Box Theater

If you have any questions about this form, please call 2226. This form must be completed and submitted at least 10 days prior to the event. Submission of this form does not guarantee availability of your requested date.

* is a required field.

Your Personal Information 
* Full Name: Required
* E-mail: RequiredValid email required
* Group Requesting: Required
* Phone: Required
*Mail Code: Required
*VID:
(V01234567 format)		 Required
   
Event Information 
*Event Title Required
*Date of Event Required
*Venue Requested:

 

 

 

 Performing Arts Center (PAC)
Black Box Theater

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
*If more than 100 then you must provide 2 ushers
*Set-Up Time: Required
*Please allow extra time for catering and special setups
*Actual Start Time: Required
*End Time: Required
Technical and Staging Needs (check all that apply)
Podium     Piano    
VCR     Screen    
Projector     Microphone    
Computer/Laptop     DVD Player    
Software Program     CD Playback    
Monitors     Flags    
PowerPoint          

* 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:

All presentations must be consistent with the mission of the college. Presentation must be received by PAC Staff 3 days prior to the event.

* Is there a catering setup with your event?
Yes      No       N/A

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

 
Please use this space to tell us a little more information about your event, including table/chair setups, special needs, etc.
You will receive a call from PAC staff within 24 hours of submission
(Monday-Friday)
Please Note: If you do not receive a "Thank You" message,
then your form was not sent!