Concrete Beach

Please fill out the form completely.

Please allow 24 to 48 hours (excluding weekend and holidays) for us to view and respond to your request.

We require a minimum of 5 business days to properly process all request.

All applications under that notice will be viewed on a case by case basis.

Requested Space:
(If Atrium space is not available, space will be be booked in Lower Level)

Requested Space:
(If Atrium space is not available, space will be be booked in Lower Level) Atrium Lower Level Concrete Beach
Group Name
Requesting Signing Officer (ASO) for this Group: Requesting Signing Officer (ASO) for this Group: First Last
Signing Officer's E-mail
Signing Officer's Phone No. Signing Officer's Phone No. - ### - ### ####
Group or Individual Mailing Address (if non-USC Affiliated) Group or Individual Mailing Address (if non-USC Affiliated)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What category would you place your group in?

What category would you place your group in? Western Department/Faculty Faculty/Affliate Student Council Faculty/Affliate Student Club USC Internal Department/CIA USC Club On-Campus At-Large (no official affliation) Off-Campus Other Other
Organization
Off Campus Group Payment Option:
Choose One

Off Campus Group Payment Option:
Choose One Cash / Debit Cheque Credit Card Purchase Order
Western Affliated Group Payment Options:
Choose One

Western Affliated Group Payment Options:
Choose One Western Speed Code Purchase Order Other Other
Western Speed Code (2 parts ie. FN98 777888) or Purchase Order Number

Please ensure you have the FULL 2 part Speed Code.
USC Account Number:
If you are a USC Club, have you submitted an Event Proposal to WesternLink?

If you are a USC Club, have you submitted an Event Proposal to WesternLink? Yes No

All USC Clubs must submit and Event Proposal to WesternLink for any event to be held in USC Space. Space can be booked without final approval of the event. However, final approval will be required for event to happen.
Requested Start Date Requested Start Date / MM / DD YYYY
Alternative Start Date if not previous date not available. Alternative Start Date if not previous date not available. / MM / DD YYYY

If the your first choice of event date is not available, do you have an alternative date that the event can be held?
Number of Days Required
(USC Clubs are permitted to request and pre-book 2 days per week. Additional dates may be requested for as Thursday the week before.)

USC Clubs are permitted to request and pre-book 2 days per week. Additional dates may be requested for as Thursday the week before.

USC Internal and Western Departments are permitted to pre-booked more than 2 days per week.
Name of Event

Title of Event or Purpose of Display
(i.e. Spring Formal Ticket Sales, Montly Awareness Display or Fundraising Sign-Up etc.)
Purpose

Purpose Awareness/Information Event Promotion Event Ticket Sales Event Sign Up Fundraising Other Other
Furnishing Requirements
PLEASE DESCRIBE ALL ACTIVITIES PLANNED FOR YOUR AWARENESS/INFORMATION or OTHER TYPE OF EVENT:
PLEASE INDICATE THE EVENT YOU ARE PROMOTING, SELLING TICKETS OR RECRUITING FOR:
PLEASE PROVED A FULL DESCRIPTION OF ALL HANDOUTS AND DISPLAYS:

Please provide us with a complete preliminary description of the nature and purpose of your event and any and all details that you have at this time. This may include furnishings, catering, performers, speakers etc.
WHO ARE YOU FUNDRAISING FOR:

WHO ARE YOU FUNDRAISING FOR: Our USC Club Off-Campus Non-Affliated Charitable/Non-Profit Organization
PLEASE LIST THE ORGANIZATION YOU ARE FUNDRAISING FOR:
(Must be a Registered Canadian Charitable or Non-Profit Organization)
ANY ADDITONAL INFORMATION YOU WISH TO PROVIDE WITH REGARDS TO YOUR REQUEST:
ARE THERE ANY OFF-CAMPUS GROUPS OR INDIVIDUALS INVOLVED IN YOUR ACTIVITY?

ARE THERE ANY OFF-CAMPUS GROUPS OR INDIVIDUALS INVOLVED IN YOUR ACTIVITY? Yes No
PLEASE PROVIDE A LIST OF ALL OFF-CAMPUS GROUPS OR INDIVIDUALS INVOLVED:
ARE THERE ANY OTHER ON-CAMPUS GROUPS OR INDIVIDUALS INVOLVED WITH YOUR ACTIVITY?

ARE THERE ANY OTHER ON-CAMPUS GROUPS OR INDIVIDUALS INVOLVED WITH YOUR ACTIVITY? Yes No
PLEASE LIST THE ON-CAMPUS GROUPS OR INDIVIDUALS INVOLVED WITH YOUR ACTIVITY:
WILL YOU BE SERVING ANY FOOO AND/OR BEVERAGES AT YOUR DISPLAY?
Only small pre-wrapped candies or snacks are permitted to be distributed at any table.
Other food and beverages must be approved by USC Reservation and requested for through the USC Catering Department or Western Food Services
Due to Health Regulations, no bake sales are permitted in the UCC

WILL YOU BE SERVING ANY FOOO AND/OR BEVERAGES AT YOUR DISPLAY?
Only small pre-wrapped candies or snacks are permitted to be distributed at any table.
Other food and beverages must be approved by USC Reservation and requested for through the USC Catering Department or Western Food Services
Due to Health Regulations, no bake sales are permitted in the UCC Yes No

Only small pre-wrapped candies or snacks are permitted to be distributed at any table.

Other food and beverages must be approved and requested for through the USC Catering Department.

Due to Health Regulations, no bake sales are permitted in the UCC
PLEASE DESCRIBE THE FOOD AND/OR BEVERAGES YOU WISH TO SELL OR DISTRIBUTE
Please provide two other locations your company has visited and the contact information of the person you dealt with.
Do you require power at the table?

Do you require power at the table? Yes No If yes, please describe what you will be powering

Power can be provided to the tables depending on the location in the UCC to which you are booked. Power can be request if the nature of the table requires it but will not be provided to simply power personal devices.
I acknowledge that no event is considered reserved until a confirmation has been received from the USC

I acknowledge that no event is considered reserved until a confirmation has been received from the USC Yes No
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Reservations

Reservations Reviewed Approved/Booked Denied