SDSU FACILITY RESERVATION REQUEST
If event is held in the evening or weekend, an additional charge may be incurred for security services.
A check of $200.00 is required as a deposit for any damages that may occur. This check is fully refundable upon final inspection
of the premises following the event.
CITY/STATE/ZIP FEDERAL TAX I.D. #:
_____ a government agency a nonprofit, charitable, education, or character building organization
_____ other a group or individual who will use the facility for education or noncommercial use
Name/Department Campus Phone Note: SDSU Co-Sponsor must sign this form
DATE (S) OF RENTAL:
TIME OF EVENT: TO
START SET-UP AT: END CLEAN UP AT:
PURPOSE FOR WHICH THE PROPERTY WILL BE USED OR DESCRIPTION OF YOUR EVENT:
______ admission charge (yes/no) cost of admission number of people anticipated to attend event
SPECIAL NEEDS, ADDITIONAL EQUIPMENT AND/OR CHARGES:
______ help with set-up # of microphones # of microphone stands # of chairs
______ # of classrooms # of podiums Overhead projector # of tables
______ P.A. System Stage spotlights TV/VCR
Are there other services or equipment needed for event?
CONDITION: Applicant agrees that any activity conducted will be in accordance with all pertinent University regulations and
policies, as well as any applicable federal, state or local laws. Any damages or unusual expenses incurred to the University resulting
from this activity will be the responsibility of the user. Applicant will provide proof of liability insurance of $1 million per event.
The rental fee must be paid in full prior to the event.
Certificate of Insurance to be provided by:
Requester's Signature Date
Signature of Person Responsible for Event Date
All requests for use of facilities must be submitted on this form to Business Services prior to any formal approval.
Request must be mailed or faxed to the following address.
Veronica Vadillo-Santiago San Diego State University-IV Campus Phone: (760) 768-5670
Business & Financial Services 720 Heber Avenue Fax: (760) 768-5632
Calexico, California 92231