What is the Event or Program? ______________________________________________________

DATE of Event: ________________________

TIME of Event: From: ________________________ To: ________________________

Your organization or group? ________________________________________________________

Approximate # of people attending? ______________

Will participants be charged to attend? (If so please explain)______________________________

Facility needed (please check):

DSC Ballroom Rangerette Gym Masters Gymnasium DSC Conference Room

Dodson Auditorium Pool Carpeted Gym Aerobics Floor

Devall Room Other___________________________________________________________

Contact person for the event:

Name____________________________________________________________________________________

Phone Number or KC Extension ___________________ e-mail ______________________________________

Items needed: (free of charge if available) Lectern Piano American & Texas fl ags

Tables & Chairs:

# of Round Tables / Chairs? _______ / _______

# of Long Tables / Chairs? _______ / _______

# of Serving Tables / Chairs? _______ / _______

# of Registration Tables? ________

NOTE: Facility Coordinator will check the availability of the desired area. If it is available, it will be placed on the KC Master Calendar. Please submit requests in ample time to assure availability.

Internal Facility Request FormKC-Sponsored Events

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Additional Services: (May be required at additional charge to persons requesting facility)

D Custodial (required) D KCPD Security (required) D Certified Lifeguard

Do you need catering for this event? D Yes D No

NOTE: If you need catering, groups must contact Aramark (Gary Crouch) for catering services at (903) 983-8280. Food and drink are not permitted in facilities without prior written approval. If food/drink is desired for an event, Aramark must be given the right of refusal.

Overview of Rental Terms: Facility requests must be made two weeks prior to date of evenUactivity. A deposit of 50% is required. Total facility rental fee is due upon signing of the Facility Rental Agreement. Written notice of cancellation must be received at least 48 hours prior to a scheduled event. A cancellation fee of $50 will be assessed for all cancellations. Any commercial advertisement that mentions or includes Kilgore College's name must first be approved by the Facility Coordinator. No candles, signs, posters or decorations are allowed on painted walls.

I agree to the terms above and understand that this request will be fulfilled if the facilities requested are available.

NAME: _________________________

DATE:_________________________

If the event is in the Ballroom, please draw a diagram below for the set-up of tables and chairs:

DEVALL BALLROOM

Back of room

�� Double-door entrance