Technology & Training Center Event Application 5151 Samuell Blvd | Dallas, Texas 75228 214.944.4551

Event Coordinator: _____________________________________

Group/Organization Information Group/Organization

Zip

Cell Fax E-Mail

Event Name Number Expected Attendees

Brief Description of Event

Can your event be added to our website calendar? No Yes Do you have a website the public can link to for further information about your event? Yes If Yes, please list website: Estimated number of parking spaces needed for event:Please check all desired rental areas:

Entire Facility Conference Room #151 Conference Room #153 Meeting Room #230 Meeting Room #231 Theater #150 Conference Room #152 Classroom #141 Classroom #142

Technology/AV Needs:s

Theater (chairs only) Banquet Style Classroom Style ReceptionOther Other

Tables Round 60" Tables Rectangular 6' Tables Classroom 4' Tablecloths

Podium(includes Mic) Microphone-Lapel/Wireless Projector/Screen

Requested Event Dates/Times: Requested Date(s) Move in Time:

AM PM Start Time:

AM PM End Time :

AM PM Move Out Time:

AM PM Alternate Date Move in Time:

AM PM Start Time:

AM PM End Time :

AM PM Move Out Time:

AM PM

Lunch Dinner Hors D’oeuvres Buffet Table Service Breakfast Catering Company:

AM/PM Breaks Contact: Phone No.:

Conference Room Set-up:

AV Equipment Laptops Qty________ DVD PlayerTV Screen

_________________

Furniture:

Security Inside Outside NOTE: To utilize the entire Ballroom, mark Conference rooms #151, #152 and #153

Other Comments below

Address City/State __________________________________________________________________________________________

___________________________________________________________________________________________________

All events must comply with current Dallas County Schools (DCS) policies and procedures. Availability of the Technology & Training Center may be limited by previously scheduled events. Please return this form with all relevant information completed. A Proforma Invoice will be prepared based on stated requirements. In order to reserve the facility, a required one-half of the base rental and a refundable damage deposit is to be submitted and made payable to Dallas County Schools within TEN (10) days after the date availability is confirmed. All remaining fees must be paid THIRTY (30) DAYS prior to the event. Rental fees will be charged based on the group/organization classification type. A final bill will be issued after the event and within TEN (10) days for any additional charges made for services, rooms, etc. at request of Lessee.

No

Contact Person Title Phone

Address E-mail

Day Phone Cell Phone Fax

Authorization for verification of space utilization history and public records

Please note the following:

•

Tentative holds indicate your interest in the space and are held for no more than (10) DAYS.

•Non-disclosure of information or providing false or misleading information may result in disapproval of application.

•Please Email application to cindy.gilbreath@texserve.com or mail to

•Application must be signed by the intended user.

•

All efforts will be made to honor the requested space and times, however, the DCS/Texserve Technology & TrainingCenter reserves the right to relocate an event to a compar able space, if necessary.

Signature (Lessee) ______________________________________________

Date Application Received: _________________

All events must comply with current Dallas County Schools (DCS) policies and procedures. Availability of the Technology & Training Center may be limited bypreviously scheduled events. Please return this form with all relevant information at least TEN (10) DAYS from the time you received it. A Proforma Invoice andan Approved Floor Plan will be prepared after this application is received and passed on to the Event Coordinator who will be assigned to your event. In order to reserve the facility, a required one-half of the base rental and a refundable damage deposit is to be paid payable to: Dallas County Schools and must be paidat least TEN (10) DAYS after receipt of this event application. All remaining fees must be paid THIRTY (30) DAYS prior to the event date. Rental fees will becharged based on the group/organization classification type. An additional charge may be charged for additional services, rooms, times, or dates requested by Lessee. Late payments will result in late fee charges.

Technology & Training Center Event Application 5151 Samuell Blvd | Dallas, Texas 75228 214.944.4551

Event Coordinator: __________________________________________

Group/Organization InformationGroup/Organization

Address City/State Zip

Contact Person Title Work Phone Alt. Phone

Cell Fax E-Mail

Event Name Number. Expected Attendees

Brief Description of Event

Can your event be added to our website calendar? No Yes Do you have a website the public can link to for further information about your event? Yes NoIf Yes, please list website:Estimated number of parking spaces needed for event:Please check all desired rental areas:

Entire Facility Conference Room #151 Conference Room #153 Meeting Room #231 Classroom #142Theater #150 Meeting Room #230 Classroom #141

Technology/AV Needs

Conference

Laptop computers

Screen

Banquet StyleSlide projectorClassroom StyleTV

Theater (chairs only)

ReceptionMicrophone

Hollow Square

LCD Projector

Round Tables (10/table)

VCR

Round Tables (8/table)

Transparency Projector

Lectern

DVD Player

Requested Event Dates/Times:Requested Date Move in Time:

AM PMStart Time:

AM PMEnd Time :

AM PMMove Out Time:

AM PMAlternate Date 1 Move in Time:

AM PMStart Time:

AM PMEnd Time :

AM PMMove Out Time:

AM PMAlternate Date 2 Move in Time:

AM PMStart Time :

AM PMEnd Time:

AM PMMove Out Time:

AM PMAdditional Set-up Date Move in Time:

AM PMStart Time :

AM PMEnd Time:

AM PMMove Out Time:

AM PMRehearsal Date (if needed) Move in Time:

AM PMStart Time :

AM PMEnd Time:

AM PMMove Out Time:

AM PM

CateringThe Technology & Training Center policy allows only APPROVED caterers from the TTC preferred caterer’s list. Lessee must submit name of caterer and a Food & Beverage Plan for approval. Breakfast Lunch Dinner AM/PM Breaks Hors D’oeuvres Buffet Table ServiceCatering Company: Contact: Phone No.:

Room Set up

Other - Please Specify:____________________________________

Other - Please Specify:____________________________________

Conference Room #152

Name

Lessee signature indicates agreement to comply with the established T&TC Guidelines while utilizing the facility.

Date: ________________

I hereby authorize the release of conference/meeting space/special events utilization history, and public records whether provided by telephone, fax photo copy, or original to the DCS/Texserve Technology & Training Center. I agree to hold harmless the Technology & Training Center and all providers of information on the prospective licensee described above. I hereby covenant and warrant that the information provided on this application is true and accurate. Any resulting contract shall be voided if this information is shown to be false or inaccurate. DCS/Texserve Technology & Training Center reserves the right to review and approve applicants and events to determine their acceptability for facility.

DCS/Texserve Technology & Training Center, 5151 Samuell Blvd., Dallas, Texas 75228