Off-Campus Event Registration Form
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1Off-Campus Event Registration Form
Name of Organization: _____________________________________________
Person Responsible for Event: _____________________________________________
Office held in Organization: _____________________________________________
Contact Person Phone: _____________________________________________
Date of Event: _____________________________________________
(Must be registered at least 2 weeks in advance)
Time of Event: Begin: ________________ End: __________________
Address of Event: _____________________________________________
_____________________________________________
Type of Establishment: _____________________________________________
Contact Phone during Event: _____________________________________________
Total Number Attending Event: _____________________________________________
Theme of Event: _____________________________________________
Special Arrangements
(To be completed upon consultation with Matador Involvement Center Staff)
Type of Security Arranged (Check one):
Licensed Agency
Off-Duty Peace Officer
Other
Name of Security Arranged: _________________________________________________
Security Phone Number: _________________________________________________
Member Responsible for Security: _________________________________________________
Member Responsible for clean up: _________________________________________________
Type of Entertainment Provided: _________________________________________________
(Disc Jockey, Band, Radio, Microphones, etc.)
Please check all that apply:
The following alternative non-alcoholic beverages will be provided to guests____________________________
The following non-salty foods will be provided to guests____________________________________________
The following system will be used to identify those of legal age to consume alcohol______________________
__________________________________________________________________________________________
A prearranged guest list will only be used for entrance into the event
All security officers will be easily distinguished from other guests during the event by_____________________
A copy of all contracts that have been made with outside corporations/organizations is attached
Neighbors will be notified of event at least 96 hours in advance (attach notice w/neighbor list)
All flyers/promotional materials advertising this event have been reviewed by Office of Student Development
(attach flyer and/or other materials)
Buses have been contracted for transportation to and from the event
“I have read the University Policy on Event Registration Procedures, the CSUN Greek Guidelines, and my (Inter)National
Risk Management Policies and agree to accept responsibility for compliance with all referenced policies.”
Submitted by: Organization President: _____________________________________________ Date: ____________
Person Responsible for Event:________________________________________ Date: ____________
*Signatures below signify consultation of proper risk management procedures and event management and do not signify approval of event.
Staff: _________________________________
Reviewed by:
Ma
tador Involvement Center
Date: ____________
Comments:
White: Office of Student Development
Canary: Public Safety
Pink: Requestor
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Parent category: Life