Organization Information Name of Organization or Group * Organization's Website Brochure Information Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt pdf doc docx ppt pptx xls xlsx. Organization's Status * Profit Non-Profit Municipality Name of responsibile individual who will be present at the event(s) * Business Phone * Cell Phone Email Address * Fax Home Phone Event Information Date of Event * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024 Start Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End Time * Hour Hour123456789101112 : Minute Minute00153045 am pm Building or Location * Room Number(s) * Description of Event (sole and exclusive purpose) * Support Required Please confirm the support required for table and/or chair set ups, food beverage, and audiovisual. Include any special parking request and specify number of parking spaces needed. Number of Attendees * Amount of admission or other fees to be charged * $ Facility permits are issued subject to all policies, conditions, rules, and regulations set forth in the College “Facility Use Policies and Regulations”. By signature below, the applicant and his/her representatives certify that they have received a copy of the “Facilities Use Policies and Regulations”; that they have read, understand, and agree to all said policies and regulations; and that the signatory below is a representative of the group seeking to use HFC facilities and authorized to enter into this Agreement on the group’s behalf. I agree to abide by the College’s policies. I understand that my completed copy of this form does not represent a confirmed reservation. Misrepresentation of the nature of the activity, or failure to fully disclose pertinent details regarding this event may result in additional charges or cancellation of this event. Applicant Name/Signature * Applicant's Title *