Fillable Printable Student Organization Event Registration Form - California State University
Fillable Printable Student Organization Event Registration Form - California State University
Student Organization Event Registration Form - California State University
Updated 6.25.15 | Page 1 of 2
STUDENT ORGANIZATION
EVENT REGISTRATION FORM
This form must be completed 10 working days prior to the event date. Reservations for on campus events will not be confirmed unless this form
has been completed. No publicity may be distributed or posted on websites until this form has been submitted for o campus events or until the
reservation confirmation process has been completed for on campus events. Signatures must be completed in blue or black ink.
NAME OF ORGANIZATION:
TYPE OF ACTIVITY
(THE UNIVERSITY’S GENERAL RELEASE WILL BE REQUIRED FOR CERTAIN EVENTS.)
PLEASE DESCRIBE THE EVENT
WHO IS INVITED (CHECK ALL THAT APPLY):
EVENT CONTACT NAME:
NAME OF EVENT:
EVENT DATE: BEGIN TIME: END TIME: ESTIMATED ATTENDANCE:
LOCATION:
PHONE:
EMAIL:
DATE:
FUNDRAISER
STUDENT ORG. MEMBERS
DANCE/PARTY
CAL STATE L.A. COMMUNITY
EDUCATIONAL PROGRAM
OTHER COLLEGES & UNIV.
SOCIAL PROGRAM
GENERAL PUBLIC
SPIRITUAL PROGRAM
GUEST LIST
COMMUNITY SERVICE
RECREATIONAL PROGRAM
CONFERENCE/CONVENTION
OTHER:
WILL THE EVENT HAVE AN ADMISSION CHARGE, REGISTRATION FEE, OR DONATION?
(If yes, please complete statement regarding cash transactions on the back of this form)
WILL A MOVIE BE SHOWN?
WILL ALCOHOL BE PRESENT AT THE EVENT?
WILL THE EVENT BE HELD IN A RESTAURANT/VENUE WHERE ALCOHOL IS AVAILABLE?
WILL OFF-CAMPUS MEDIA BE NOTIFIED ABOUT THE EVENT (NEWSPAPER, TV, RADIO, ETC.)?
WILL THE EVENT HAVE SECURITY?
WILL FOOD BE SERVED AT THE EVENT?
IF YES, WHO WILL PROVIDE THE FOOD?
NO
NO
NO
NO
NO
NO
YES (If yes, please attach written proof of viewing rights.)
YES. Please attach a completed request to serve alcoholic beverages.
(This form may take up to two weeks for review and possible approval.)
If so, please arm organization members and guests will not consume alcohol.
Initials
YES
YES If yes, please explain
UNIVERSITY CATERING OTHER:
YES
A completed food permit is required for all on-campus events with food unless the food is provided by University Catering.
YES
Events intended for the general Cal State L.A. campus will be listed in the Student Organization Calendar of Events distributed in a
bi-weekly email by the Center for Student Involvement.
NO, I DO NOT WISH FOR MY EVENT TO BE POSTED.
NO YES, HOW MUCH?
DOES THE STUDENT ORGANIZATION WANT TO PURCHASE SPECIAL EVENT INSURANCE FOR THIS EVENT?
MY SIGNATURE BELOW INDICATES THAT I WILL TAKE RESPONSIBILITY TO ENSURE THAT THE EVENT WHICH MY ORGANIZATION IS
SPONSORING WILL FOLLOW ALL GUIDELINES SET FORTH BY THE UNIVERSITY.
Please be aware that student organization events are not covered for liability or other insurance by California State University, Los Angeles or
the University-Student Union. Student organization officers or the advisor may be held personally liable. If the student organization would like to
purchase Special Event Insurance for a particular event, please contact CSI.
NO
YES
DATE :
STUDENT ORG. OFFICER’S NAME
ADVISOR’S NAME
SIGNATURE
(PLEASE USE BLUE OR BLACK INK ONLY)
Updated 6.25.15 | Page 2 of 2
STATEMENT REGARDING CASH TRANSACTIONS
EVENT GUIDELINES
CONDUCT:
ALCOHOL:
PUBLICITY:
As an ocer of: , a recognized student organization
at California State University, Los Angeles, I arm that all funds raised by this organization or assets assigned to this organization will be
used solely for the benefit of the organization as a whole. Further, it is armed that no funds or assets of this organization will accrue to
the benefit of any ocer or member, or any private person.
The following guidelines are provided for the benefit of the student organization. They are intended to be followed completely. Failure
to comply with any of the following guidelines may result in disciplinary action taken against the organization including suspension of
recognition, events and use of facilities.
The organization assumes full responsibility for the conduct of participants at the event. Any violation of University policy may
subject the participants and/or the organization to disciplinary action by the Center for Student Involvement or Judicial Aairs.
Any event that involves consumption of alcoholic beverages requires authorization from the University. Your organization
must complete a Request to Serve Alcoholic Beverages form available in the Center for Student Involvement. Please
allow at least 3 weeks for this form to be reviewed by the University.
All publicity material including banners, brochures, announcements, etc. must have the name of the sponsoring group and
the following statement: “The actions and opinions of this organization do not necessarily reflect those of the students,
sta, faculty, or administration of Cal State L.A.”
Describe the fundraiser (including how the fundraiser or donation process will work, items to be sold, prize(s), etc):
SIGNATURE: DATE:
PRESIDENT:
SIGNATURE: DATE:
TREASURER:
ACKNOWLEDGMENT – FOR OFFICE USE ONLY
DATE :
DATE :
DATE :
DATE :
DATE :
CENTER FOR STUDENT INVOLVEMENT (U-SU 204)
CSI VERIFIES THE ORG. IS RECOGNIZED BY THE UNIVERSITY
CENTER FOR STUDENT INVOLVEMENT DIRECTOR:
NOTIFICATIONS:
SIGNATURE:
DATEVICE PRESIDENT FOR STUDENT AFFAIRS OR DESIGNEE
NOTES OR UPDATES:
GENERAL RELEASE REQUIRED FOR ALL PARTICIPANTS?
NO
YES DATE REQUIRED:
PUBLIC AFFAIRS
FACILITIES USE COORDINATOR
DEPT. OF PUBLIC SAFETY
ATHLETICS
