Event Registration Request
UCLA Department of World Arts and Cultures/Dance
Title of Event
*
Theater/Room Number(s)/Area(s)
*
Event Start Date
*
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Month
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Date
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Hour
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Minutes
AM
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AM/PM Option
Event End Date
*
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Month
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Day
Year
Date
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:
Hour
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15
30
45
Minutes
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AM/PM Option
Setup/Rehearsal Start Date
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Month
-
Day
Year
Date
1
2
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12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Setup/Rehearsal End Date
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Month
-
Day
Year
Date
1
2
3
4
5
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11
12
:
Hour
00
15
30
45
Minutes
AM
PM
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
Other
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.)
Other
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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