CII Watts Campus Room Reservation Application

Please fill out the form below to request a space at CII's Watts Campus (10200 Success Ave, Los Angeles, CA 90002). A CII staff member will get back to you with a reservation confirmation or follow-up questions within 2 BUSINESS DAYS. All reservations are on a first come, first served basis.

If you need assistance filling out the form, please feel free to call 424-536-4320.

Question Title

* 1. Please provide your name and contact information as well as your organization's name and address.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Event Start Date (Dates/Times outside of CII's business hours will not be accepted, Monday-Friday 8:30am-7:30pm, Saturday 8:30am-3:30pm)

Date / Time

Date

Time

AM/PM

Question Title

* 3. Event End Date (Dates/Times outside of CII's business hours will not be accepted, Monday-Friday 8:30am-7:30pm, Saturday 8:30am-3:30pm)

Date / Time

Date

Time

AM/PM

Question Title

* 4. Alternate Event Start Date
(please provide a date other than the originally requested date)

Date / Time

Date

Time

AM/PM

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* 5. Alternate Event End Date
(please provide a date other than the originally requested date)

Date / Time

Date

Time

AM/PM

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* 6. Is this a recurring event?

Yes, daily

Yes, weekly

Yes, bi-monthly (twice a month)

Yes, monthly

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* 7. Please specify exact dates if your request is recurring.

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* 8. Space Requested (check all that apply):

Meeting Room (21-25 attendees)

Large Meeting Room (26-50 attendees)

Event Space (50+ attendees)

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* 9. Total number of attendees anticipated:

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* 10. Target Audience for the event (check all that apply):

Students- Elementary

Students- Middle School

Students-High School

Young Adults (ages 18-25)

Parents

Adults (26-55)

Senior Citizens

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* 11. Describe what your organization/community group does:

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* 12. Please provide a description of this event:

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* 13. Please Upload Relevant Documents (flyer, safety procedures, etc. if applicable).

CII Staff will review your request and let you know if a certificate of insurance is required. In most cases, it will not be required.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 14. IT Equipment Needs (check all that apply):

TV Cart

HDMI Cables

TV Remote

Web Camera

Video Adapters

External Speakers

Wireless Keyboard/Mouse

Microphone(s)

Other (please specify)

None of the above

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* 15. Please select ONE floor set up that is closest to your desired set up for your event.

A. 15-20 Guests

B. 40-50 Guests

C. 50-60 Guests

D. 28-30 Guests

E. 18 Guests

F. 25-30 Guests

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* 16. Will food be served?

Yes

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* 17. Please list any vendors that will be in attendance.

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* 18. Day of Event Contact (if different from contact above):

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* 19. Please list any CII Program or Service you may be affiliated with:

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* 20. Please click the check box to acknowledge the following statements:

You will abide by CII's Health & Safety policies as directed by CII's front desk staff, and you will ensure your event attendees will abide by this policy. Failure to comply with CII’s Health & Safety policies could lead to the cancellation of your reservation.

You will be held responsible for any damage to our neighbors' property incurred by activities/attendees of your event.

Your designated representative will arrive 30 minutes prior to the event and will be responsible for welcoming attendees.

If you arrive more than 15 minutes late, you may lose your reservation.

If you no longer need the room you have reserved, you will notify CII Staff at roomreservationSPA6@childrensinstitute.org to cancel your reservation with at least 24 hours notice before your scheduled event.

Additional documentation may be required prior to the approval of your reservation.

CII reserves the right to cancel the event at any time due to unforeseen circumstances.

CII Watts Campus Room Reservation Application

Question Title

* 1. Please provide your name and contact information as well as your organization's name and address.

Question Title

* 2. Event Start Date (Dates/Times outside of CII's business hours will not be accepted, Monday-Friday 8:30am-7:30pm, Saturday 8:30am-3:30pm)

Question Title

* 3. Event End Date (Dates/Times outside of CII's business hours will not be accepted, Monday-Friday 8:30am-7:30pm, Saturday 8:30am-3:30pm)

Question Title

* 4. Alternate Event Start Date (please provide a date other than the originally requested date)

Question Title

* 5. Alternate Event End Date (please provide a date other than the originally requested date)

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* 6. Is this a recurring event?

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* 7. Please specify exact dates if your request is recurring.

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* 8. Space Requested (check all that apply):

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* 9. Total number of attendees anticipated:

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* 10. Target Audience for the event (check all that apply):

Question Title

* 11. Describe what your organization/community group does:

Question Title

* 12. Please provide a description of this event:

Question Title

* 13. Please Upload Relevant Documents (flyer, safety procedures, etc. if applicable).

Question Title

* 14. IT Equipment Needs (check all that apply):

Question Title

* 15. Please select ONE floor set up that is closest to your desired set up for your event.

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* 16. Will food be served?

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* 17. Please list any vendors that will be in attendance.

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* 18. Day of Event Contact (if different from contact above):

Question Title

* 19. Please list any CII Program or Service you may be affiliated with:

Question Title

* 20. Please click the check box to acknowledge the following statements:

* 4. Alternate Event Start Date
(please provide a date other than the originally requested date)

* 5. Alternate Event End Date
(please provide a date other than the originally requested date)