BCPC Programming Inquiry Form

I am making this request on behalf of...*

myself/an individuala small group/collective (e.g., informal gathering, student group, club)a non-profit organization or government agencya for-profit organization or entity

Program Contact Information
Organization Name*
Contact Name*

First NameLast Name
Contact Title*
Contact Email Address: *
Contact Phone Number*
Please enter a valid phone number.
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Website:*
Organization Annual Budget*

under $10,000$10,000 to $50,000$50,000 to $100,000greater than $100,000

Program Audience & Outreach
Is your program primarily about LGBTQ+ issues and/or primarily intended for LGBTQ+ audiences?*

YesNo
Please explain*
Will your event have FREE admission for all who wish to participate?*

YesNo
Please explain*
Is your event open to the general public?*

YesNo
Please explain*
Do you already have a committed audience or interest in your program? *
What are your outreach and marketing strategies?*

Program Schedule
Our current hours are Monday through Thursday from 10am to 8pm and Fridays from 10am to 5pm.

While we are not currently open on weekends, we may be able to accommodate weekend requests on a case-by-case basis, depending on staff availability. However, we cannot guarantee that weekend requests will be fulfilled.

Please review our programming calendar to check current availability. Then, list your preferred event dates and times.
What schedule best fits your program?*

DailyWeeklyBi-MonthlyMonthlyQuarterlyOther
Anticipated Program Start Date*

MonthDayYear
Anticipated Program Run Time*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option

Programming Inquiry Form