BCSC Reservation Form

Please fill out this form to reserve either the Henry & Monique Brandon Family Community Room, the Black House Lounge, or the Ann Pogue- Campbell and Lloyd E. Campbell Community Deck. If any of the rooms suffer damages due to your usage, we reserve the right to charge for the repair of the damages.

* indicates required fields.

Name of Organization *

Name of Person Filling out Form *

First

Last

Contact Email (This email will be used as the contact email if you would like this event listed on the calendar) *

Event Title *

Event Date (MM/DD/YY) *

Event Start Time (Format HH:MM) *

Event Start Time (AM or PM) *

Event End Time (Format HH:MM) *

Event End Time (AM or PM) *

Would you like to add this event to the BCSC calendar? *

Rooms Requested (Room costs apply to departments only) *

Henry & Monique Brandon Family Community Room ($400)

Black House Lounge ($100)

Ann Pogue- Campbell and Lloyd E. Campbell Community Deck ($100)

Billing Information

University PTA

Approver

Event Description (minimum 30 words) *

Stanford Affiliation/Department

Phone Number (Format 123-456-7890)

Fax Number (Format 123-456-7890)

Number of Guests Expected

Event Set Up Time (Format HH:MM)

Event Set Up Time (AM or PM)

Will you be serving food and/or beverages? *

Yes

If You Answered Yes to the Above Question

Please note that you are responsible for clean up and/or submitting a work order for ABM cleaning services.

Will there be any audio, visual, or multimedia sound equipment?

Yes

Untitled

First Option

Second Option

Third Option