Special Event Planning Worksheet

University Police Department

IMAGE OF POLICE DEPARTMENT BADGE

Special Event Planning Worksheet

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This Form is for Special Events Only (Groups) - NOT for Guest Reservations

NAME OF THE EVENT:	LOCATION:	DATES:
DAYS OF THE WEEK:	EVENT BEGINS:	EVENT ENDS:
CAMPUS DEPARTMENT SPONSORING THE EVENT:
CONTACT PERSON:	PHONE NUMBER / EXT:	FAX NUMBER:

ALTERNATE CONTACT PERSON:	PHONE NUMBER / EXT:	FAX NUMBER:

Estimate number of people attending from on-campus:
Estimate number of people attending from off-campus:
IS THE TOPIC AND/OR SPEAKER CONTROVERSIAL?	Yes	No
IS YOUR GUEST A CELEBRITY?	Yes	No
IS THIS A GOVERNMENT OFFICIAL?	Yes	No
WILL THEY HAVE THEIR OWN SECURITY?	Yes	No
IS THIS A FILM SHOOT?	Yes	No
WILL THEY HAVE THEIR OWN SECURITY?	Yes	No
WILL THERE BE FIREARM/WEAPON TYPE PROPS?	Yes	No
WILL THERE BE PYROTECHNICS?	Yes	No
IS THIS A DANCE?	Yes	No
WILL THERE BE MUSIC AND/OR ALCOHOL?	Yes	No
WILL MONEY CHANGE HANDS?	Yes	No
Access the Parking Special Events Planning Worksheet at this URL: http://www-admn.csun.edu/parking/events/special_events.htm

Additional Notes About Your Event:

Authorized Signature:_______________________________________________________	*Date: ____________*
*Print Name:*