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 48 hours. 

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

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

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* 2. Event Start Date

Date
Time

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* 3. Event End Date

Date
Time

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* 4. Alternate Event Date 

Date
Time

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* 5. Is this a recurring event?

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

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

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* 8. Describe the service, workshop or program the event is supporting:

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* 9. Set up needs (check all that apply):

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* 10. Will food be served?

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

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

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

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

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

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

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