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 or Department *

Contact Name *

First

Last

Email *

Event Title *

Event Date (MM/DD/YY) *

Event Set-Up Time (Format HH:MM include AM/PM) *

Event Start Time (Format HH:MM include AM/PM) *

Event End Time (Format HH:MM Include AM/PM) *

Event Clean-Up Time (Format HH:MM include AM/PM) *

Rooms Requested (Room costs apply to departments only) *

Black House Lounge ($100)

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

Henry & Monique Brandon Family Community Room ($400)

Audio/Visual Equipment

Sound System ($50)

Wireless & Wired Mic ($25)

Projection Screen ($25)

Projection w/Clicker & Cords ($50)

University PTA (needed if renting audio/visual or department use)

Approver

Event Description (minimum 30 words) *