Event Registration Request

Event Registration Request

UCLA Department of World Arts and Cultures/Dance
Title of Event *
Theater/Room Number(s)/Area(s) *
Event Start Date *

Month Day Year
Date Hour Minutes AM/PM Option
Event End Date *

Month Day Year
Date Hour Minutes AM/PM Option
Setup/Rehearsal Start Date

Month Day Year
Date Hour Minutes AM/PM Option
Setup/Rehearsal End Date

Month Day Year
Date Hour Minutes AM/PM Option
Name of Department/Organization *
Producer/Lead Contact Name *

First Name Last Name
Producer/Lead Contact Phone Number *

Area Code Phone Number
Producer/Lead Contact Email *
example@example.com
Faculty Sponsor/Advisor/Liaison (if different from Producer/Lead Contact)

First Name Last Name
Additional Sponsors
Type of Event *

Performance Dance Music Concert Lecture Video Screening Conference Reception Master Class Workshop
Short Description of Event *
Are there any artists/participants that are either non-UCLA employees or non-enrolled students? *

Yes No
Are there component(s) of the event that are open to the public? *

Yes No
Estimated Attendance *
Event Participants *

UCLA students only (UCLA ID required) On-campus attendees only Open to the public For invited or registered guests only VIP (elected official, dignitary, Chancellor, celebrity, etc.)
Are there admission costs? *

Yes No
Ticket Price(s)
How will the event(s) be promoted? *
Will this be videotaped, recorded, or photographed? *

Yes No
If yes, who will record?
Do you want the event(s) listed on the UCLA campus calendar? *

Yes No
Contact name/info to list on calendar
Website for this event
Will there be an event reception? *

Yes No
If yes, please specify the location requested for the reception.
Will there be food at the event? *

Yes No
If yes, please list caterer and setup needs:
If yes, please attach desired catering layout(s):

Browse Files

Cancel of
Will there be merchandise sales? *

Yes No
If yes, please provide a brief description:
Please provide any pertinent information not listed above:
Please provide a short blurb for the web and/or campus calendar:
Please list all setup requirements: *
(Tables, chairs, sound, A/V, computer and/or internet connection, etc.)
Please provide diagram(s) of studio/room setup(s):

Browse Files

Cancel of
Notes:
- Receptions can only be held in designated spaces and may require special cleaning.
- All public workshop and master class participants must sign a UCLA Waiver of Liability, Assumption of Risk, and Indemnity Agreement.
- All events that are videotaped and/or documented with still photography require a UCLA Film Permit. Waivers and permits available upon request.
- Please provide Tech Rider for events in theater spaces.
Please verify that you are human: *
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Event Registration Request

Notes: