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VICE PRESIDENT OF STUDENT SERVICES

1600 Chester Avenue, Bremerton, WA 98337-1699


Tel 360-475-7474 ~ Fax 360-475-7477 ~ www.oc.ctc.edu

Campus Event by Non-College Group


Event Details
Date of event: _______________________________________________________________________
Time of event: _______________________________________________________________________
Preferred Location: (click here for map)
________________________________________________________________________________

Sponsoring Organization
Name: _____________________________________________________________________________
Telephone number: ___________________________________________________________________
E-mail address: ______________________________________________________________________
Physical Address: ____________________________________________________________________
_____________________________________________________________________
Contact Person at the Event
Name: _____________________________________________________________________________
Telephone number: ___________________________________________________________________
E-mail address: ______________________________________________________________________
Physical Address: ____________________________________________________________________
____________________________________________________________________

Please indicate the nature and purpose of this event:


____________________________________________________________________________________________
__________________________________________________________________________
If you are using sound amplification, please indicate what type (i.e. bullhorn, boom box, etc.)
___________________________________________________________________________________
How many people are you expecting to participate in this event? ________________________________

Return this form to the VP of Student Services, 1600 Chester Rm. HSS 201, Bremerton, WA 98337 to arrive

a minimum of 48 hours prior to activity.

Questions? Please call 360-475-7474.

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