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. 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.

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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
(please provide a date other than the originally requested date)

Date
Time

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* 5. Is this a recurring event?

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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):

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* 8. Total number of attendees anticipated:

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

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

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* 11. Please provide a description of this event:

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

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

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* 15. Will food be served?

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

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

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

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

T