Agreement - CSDA - 2023-10-10FACILITY INFORMATION
District Name:
Contact Person:
Address:
City: State: Zip:
Phone: Fax:
Email:
Facility Name (if different):
Facility Address (if different):
EVENT(S) INFORMATION Date Time
1st Event - Name of Event:
2nd Event - Name of Event:
3rd Event - Name of Event:
SEPARATE REGISTRATION FEES
Is there a charge for the use of your facility? Yes: How much: $ No
Would someone from your district be willing to sign attendees in, hand out materials and distribute certificates/evaluations or help set up for self distribution? Yes No
REQUESTED ROOM SET-UP PLEASE MARK ITEMS YOUR FACILITY CAN PROVIDE:
Tables and chairs set classroom style for at least: 15 25 35 50
Table located in front for LCD projector and Speaker materials.
Screen located in front.
Tables located in back for food/beverage.
Table with chairs near room entry for registration.
Lectern or Podium
Microphone
Screen
Easel/Flip Charts
Dry Erase Board with Markers
TV and VHS VCR, DVD
Overhead or Portable LCD Projector
Classroom Style ( 15, 25, 35, 50)
Theater Style (how many?):
Hollow Square (how many?):
U Shape (how many?):
Air Conditioning/Heat
PARKING
Capacity:Additional Notes:
FOOD/BEVERAGE
Does your facility offer coffee service? Yes: How much?: $ No
Are local restaurants/delis/caterers within a short distance of the facility? Yes No
Are there any restaurants/delis/caterers that will deliver to the facility? Yes No
Suggestions for caterer or local restaurants:
HOTEL
Are there any hotels close to the facility? Yes No
Hotel Recommendations:
SIGNATURES
Megan Hemming, Professional Development Director, CSDA: Date:
Name:Title:Date:
District:
FACILITY USE AGREEMENT
California Special
Districts Association
Districts Stronger Together