Event Registration Form

This form is only available to active student organizations at LSUE that have registered with the Office of Student Affairs to request use of University facilities for campus events. Organizations that have not registered, off-campus parties, and departments cannot submit this form to request use of campus facilities.

EVENT INFORMATION:

Organization Sponsoring Event:*

Name of Event:*

Event Date:*

If the event will be multiple dates, please enter the start date and end date.Format: 03/01/2018 - 03/04/2018

Event Start Time:*

Event End Time:*

How far in advance will you need access to the space for set-up?*

Requested Room/Space (Preference #1):*

Requested Room/Space (Preference #2):

If you are requesting multiple rooms or rooms not listed in the above options (e.g. classroom space), please list them below.

Anticipated Attendance:

Is the event open to the general public?

Yes

Is the event open to all LSUE students?

Yes

Will admission be charged?

Yes

If admission will be charged, how much per person?

Please list any special equipment needed.Smart cart, projector, speakers, etc.

Please describe the requested setup in as much detail as possible.Number of tables & chairs, arrangement, etc.

If visitor parking permits are needed, how many?

ORGANIZATION CONTACT PERSON INFORMATION

Name:*

Email Address:*

Mailing Address:Street/PO Box, City, State, Zip Code

Phone Number:

Role:*

REGULATIONS GOVERNING THE USE OF LSU EUNICE FACILITIES:

The user(s) of University facilities or premises will not hold the University or any of its employees responsible for accidents, bodily injury, or damage occurring in the preparation of, during, or after the use of facilities.

Facilities/premises must be left in the same condition as previously existed, and the user(s) must accept responsibility for damages occurring during the use of University property.

LSU Eunice reserves the right to refuse any request for use of its facilities/premises.

Pool use: 1 adult/10 children or 1 adult/6 children (below 3rd grade).

LSU Eunice is a tobacco-free campus. The use of tobacco products is prohibited.

Only registered student organizations may submit this form. Departments and off-campus parties must submit a request through the Office of Human Resources.

By checking the box below, you agree that all of the information submitted in this form is accurate to the best of your knowledge and that you have read and understand the regulations and policies detailed above.

I Agree

Office of Student Activities

2048 Johnson Hwy
P..O. Box 1129
Dr. Anthony Mumphrey Center , Rm 112
Eunice, LA 70535

Phone: 337-550-1218
Email: stuaff@lsue.edu