SPONSOR INFORMATION

Sponsoring Organization
Event Contact Person
Contact Person Phone
Contact Person Email
Organization Org/Account Number

EVENT INFORMATION

General Information

R25 Ref. Number
Title of Event
Note: This title must be unique. Please be descriptive, do not enter titles such as "meeting" or "Concert"
Type of Event
What is the subject of the lecture/program?
Are people likely to protest this event?	Yes No
Location of Event
Have you reserved this space with the Student Scheduling Coordinator?	Yes No
Have you completed the on-line Event Service Request Form?	Yes No
Event Date
Start Time
End Time
Purpose of Event
Intended Audience (Smith/Five College/Outside Community)
Attendance Anticipated
Room Capacity
Description of the Event (include name of speakers, band, or major components of the event which College Officials should be aware of)
Please describe your event setup, including any decorations, lighting equipment, special effects and/or sound equipment
Are there any parking and/or traffic concerns? If yes, please describe your needs and/or issues here
Through what media outlets are you advertising this event?

Ticket Information

Is Admission being charged?	Yes No
If yes, how much?
Sales Begin
Sales End
Who may purchase tickets?
How many may they purchase?
Space Reserved for Advance Sales?	Yes No
Cash Box reserved?	Yes No
Is this event a fundraiser?	Yes No
Note: If yes, please make sure you complete the ORC Fundraising Application available in the ODS, Room 203 of the Campus Center. Approval must be granted through ORC before the fundraiser can begin.

Food Information

Will food be served?	Yes No
Please Note: All catering must be arranged through Dining Services
Description of food
Will alcohol be served?	Yes No
Please Note: Dining Services must be involved in all events during which alcohol will be served

Security Information

Will Public Safety be required?	Yes No
If yes, how many?
Coverage Time Starts
Coverage Time Ends
Entries Controlled (describe)
Additional Conditions (describe)

Estimate Expenses

Public Safety Fee
Additional Custodian Fee
Davis Usage Fee
Special Events Staffing
Other
Total Expenses

AGREEMENT
I understand that by submitting this form our organization agrees to the following:

1. The sponsoring organization is responsible for behaviors and actions that occur directly or indirectly from the program/event.

2. The College has a legal responsibility and authority to reasonably ensure safety, limit liability and require sponsoring organizations to work toward these same ends.

3. Any change in conditions described in this agreement must be agreed upon in writing by all parties one week prior to the event.

4. If the College determines that additional facilities and services (e.g. additional security) are needed, the student organization agrees to accept those facilities and services as a condition of approval for the event. Furthermore, the organization agrees to pay the actual cost as determined by the College. The student organization understands and agrees that the provision of such facilities by the College does not diminish the responsibility of the student organization as described in the agreement.

5. The student organization understands and agrees that its acceptance of responsibility includes acceptance of the following sanctions, which may be imposed as described below.

a. Permanent or temporary removal of the group’s recognition with Student Activities.

b. Permanent or temporary removal of recognition rights and privileges including use of College facilities or use of the College name.

c. Financial and civil liability for all claims arising from the event.

6. Responsibility attributed for incidents as described above may subject the individual student organization’s leadership and membership to similar sanctions or other sanctions under the Code of Student Conduct at the College.

Please print a copy of this form for your records. If you noticed you made an error after you already submitted your registration form, please resubmit a new form with the word UPDATED in the field with the date of the event.

Sponsoring Organization (to be signed during event consultation)
Date
Student Activities (to be signed during event consultation)
Date

Please print this page from your browser before sending it to the Campus Center so that you have a copy for your records.