University of South Carolina Beaufort Room Request Form Organization Name:
_______________________________________________________________________________
Address: Contact Person:
_____________________ Phone:
Activity Title: Date(s) requested: Time requested: Including set-up time Description of Event: ________________________________________________________________________________ Special Needs: Podium with mic Microphone and stand Tables (6 foot) Tables (8 foot) Round tables Projector and screen Chairs Other
Please choose location: Auditorium (includes use of lobby) Lobby Only Student Lounge Other
Please attach a diagram with your set-up request. By signing this agreement, the renting party agrees to indemnify, hold harmless and defend the University of South Carolina, its trustees, officers, agents and employees from and against any and all claims, demands, damages, judgements or liabilities of any kind whatsoever and any costs incurred in defending against the same. The renting party shall reimburse the University for any damage to the rented area or to any University property contained therein resulting from or arising out of this event, to the extent such damage is caused by renter, its guests, agents or suppliers. By order of the City of Beaufort Fire Marshall, seating capacity of the Performing Arts Center if 471. If the event exceeds the capacity, the Organization will be responsible for the fine. USCB will not be responsible for the fine. Permission to use the above space does not include any other space on USCB Campus or in the Performing Arts Center. Other areas need to be reserved separately, for additional charges. I have read the attached USC Beaufort Performing Arts Center House Rules, PAC Rules and Regulations and the PAC Operating Policy. I am in agreement with all items stated and will adhere to USC Beaufort policy.
________________________________ Signature Please return completed form to: Staci Breton USCB Development Office 801 Carteret Street Beaufort, SC 20092 Phone: 843.521.4182 Fax: 843.521.3195
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