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Event Application <br />We are delighted that you have considered Delhi Center for your event. <br />In order to best serve you we ask that you complete and submit this application form. <br />Contact Person: <br />First Name <br />Address: 20 Civic Center Plaza M-25 <br />Number Street <br />E-mail: svazquez@santa-ana.org <br />Work Phone 71( 4 _)sa7 -5445 <br />Company Name: City of Santa Ana <br />Event Information <br />Last Name <br />Santa Ana CA <br />Apt. # City State <br />92701 <br />Zip Code <br />Cell Phone: (657 ) 383 - 2176 <br />Brief Company Description: Local Government <br />Company Partners or Associations if any: Asociaci6n de Emprendedor@s <br />Type of Applicant: <br />Non -Profit Organization <br />= Community Organization <br />School <br />II Religious <br />For -Profit <br />= Corporate <br />Type of Event: <br />E [Meeting <br />Fecognition Event <br />=Other: <br />Training <br />0 Fundraiser <br />Event Name: Emprendedor@s Program <br />Brief Event Description: 8-week business seminar <br />Government Agency <br />F-7 School/District <br />F-1 College/University <br />F-1 Healthcare <br />County <br />_F State <br />Q City <br />=Employee Event =Workshop <br />=Community Event =Conference <br />Event Setup Needed: Tables, chairs, screen, projector for 30 participants and 3 presenters <br />*Please coufirm setup 72 hours in advance, any last-minute changes may affect availability of the tables and chairs. <br />Room being requested: <br />[--]Full Ballroom =Classroom 103 =Dance Room <br />✓_Front Ballroom =Classroom 102 Fxercise Room <br />=Back Ballroom =Courtyard <br />Date(s) of Event: NOV 2, 9, 10, 23, 30, DEC 7, 1a, 1s Setup Time: 4:30 to 5 <br />Event Start: 5PM & End Time: 7PM (sPM DEC 16) Clean Up Time: 7PM (aPM DEC 1e) to 7.15 PM (B:15PM DEC 16) <br />Number of Guests: 30 + 2-3 staff Will there be children?=Yes E No <br />Will alcohol be served? Yes ✓=No Dance Floor Space Needed? _Yes E Vo <br />Will you be serving food?=Yes =No Will kitchen be used to warm food?=Yes=No <br />Is there a fee for your event & if so, how much? NO - Free participation Open to Public:=Yes=No <br />How did you hear about us?❑Referral ❑Internet Search =Attended an Event ❑Other <br />1, Kristine Ridge, City Manager , the rental applicant, certify that all the above information is true. If the <br />information in this application is found to be untrue, the Operations Manager has the right to cancel the <br />contract between the applicant and Delhi Community Center. This questionnaire in itself is not a contract for <br />rental. r1� <br />'' o �'-- October 21, 2021 <br />Signature Date <br />