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California Lutheran University Today's Date January 31, 2022

Office of Campus Services


60 W. Olsen Road #3300 , Thousand Oaks, CA 91360
Phone: (805) 493-3195
Fax: (805) 493-3920
EVENT REQUEST SET-UP CONTRACT
(Please Type or Print )
This completed form must be returned to Campus Services (MC3300) for approval no later than two weeks before
the event or guaranteed reservations cannot be insured. Please make a copy for yourself.

Name of Event Callupalooza Tabling Email Address juangonzalez@callutheran.edu

Group Rep. Juan Gonzalez Location Flagpole (next to Humanities)

Address or Dept. Clubs and Organizations Mail Code 3400 Phone # (661) 340-9765
(Please fill out the following information completely)

February 7, 2022 10:00AM 2:00PM


DATE Beginning Time Ending Time

Is food being served?


Yes No

Will the Event need


directional signs? Yes No
Will the Event need
housekeeping? NO LATEX BALLOONS, GLOVES
Yes No OR OTHER PRODUCTS

SET UP REQUIREMENTS SET-UP DIAGRAM, ARRANGEMENTS


# of Chairs Needed __________________ AND/OR INSTRUCTIONS
# of Tables Needed __________________
# of 8 Ft. Tables Needed ______________
# of 60" Round Tables Needed ___________

___ Lectern ___ Tents


___ Piano ___ Platforms
___ Gym Bleachers ___ American Flag
___ Portable Stage ___ Trashcans

AUDIO VISUAL EQUIPMENT


___ CD Player DVD Player
___DVD
___ LCD Projectors ___Internet Access
___ Laptop ___ 6ft
Screen
Screen

_____ Wireless mic ___ Large Screen Projection


_____ Clip on ___ Stage Lights (Requirements
_____ Hand-held mic must be approved by Events)
PA SYSTEM
# of Table Mics. ______ Lectern Mic _____
# of Floor Mics. ______ Speaker _____
IMPORTANT Audio Visual and lighting require University trained personnel. Any charges and personnel needed will
be determined by the University. Charges may be imposed if equipment is damaged or facility left unclean.

In adhering to Campus rules, no alcoholic beverages, unprescribed drugs or narcotics are permitted on Campus.
Failure to comply with this may result in the cancellation of this and other applications for future events.

Date submitted to Office of Events Services _______________ Applicant's Signature ____________________________________________

Date submitted by Office of Events Services _______________ Approved by Director of Campus Services: _________________________

FOR OFFICE USE ONLY

Emailed by: Alyssa Filed by:

x/v/events/office/1Forms/Contract/Application

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