CLUB EVENTS REQUEST FORM Must be filled out and submitted to clubscoordinator@bcitsa.ca at least 14 days prior to the event. You will be contacted by the Clubs Coordinator to arrange a meeting to review all activities related to your event. No changes will be permitted after the form is signed. Club name: __________________________________________________________________________________________ Lead contact information Name: __________________________________________
Title: __________________________________________
Phone: __________________________________________
Email: __________________________________________
Signature: ___________________________________________________________________________________________ Secondary contact information Name: __________________________________________
Title: __________________________________________
Phone: __________________________________________
Email: __________________________________________
Signature: ___________________________________________________________________________________________ Event name/description:
_______________________________________________________________________
Event venue/location:
_______________________________________________________________________
Event date(s): _______________________________________________________________________________________ Setup time: _____________________________________
Start time: ___________________________________
End time: _____________________________________
Teardown time: _____________________________
Is this a ticketed event? ________________________
Price per ticket: _____________________________
Estimated attendance: ________________________
Third-party sponsors? ______________________
Please list requested equipment on reverse.
Event budget: ________________________________
If you require catering please consult the Clubs Coordinator first. REMEMBER: We require a minimum of 14 days notice prior to the event. BCITSA is responsible for contacting BCIT regarding all requests to use academic and corporate spaces. BCITSA will not be responsible to find alternative spaces should the requested space be unavailable. Office use only: Signature of designated BCITSA staff:
________________________Space Booked: Yes ďż˝ No: ďż˝
Date of Form Received: _____________________________________________
3700 Willingdon Avenue, Burnaby BC, V5G 3H2 | Bus: 604.432.8600 Fax: 604.434.3809 | www.bcitsa.ca