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 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.

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

Date / Time

Date

Time

AM/PM

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* 3. Event End Date

Date / Time

Date

Time

AM/PM

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* 4. Alternate Event Date

Date / Time

Date

Time

AM/PM

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* 5. Is this a recurring event?

Yes, daily

Yes, weekly

Yes, bi-monthly (twice a month)

Yes, monthly

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

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

Office Space (1-5 attendees)

Small Meeting Room (5-9 attendees)

Medium Meeting Room (10-25 attendees)

Large Meeting Room (26-50 attendees)

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

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

Chairs

Tables

Other (please specify)

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* 11. Please select ONE floor set up desired 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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* 12. Will food be served?

Yes

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

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

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

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

You will abide by CII's COVID-19 policy, including masking indoors, and you will ensure your event attendees will abide by this policy. COVID protocols are subject to change based on county, state and CDC guidelines. Failure to comply with CII’s COVID-19 protocol 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.

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* 17. 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.

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