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.

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

Date
Time

Question Title

* 3. Event End Date

Date
Time

Question Title

* 4. Alternate Event Date 

Date
Time

Question Title

* 5. Is this a recurring event?

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 11. Please select ONE floor set up desired for your event.

Question Title

* 12. Will food be served?

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

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

T