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INSURANCE NOT REQUIRED <br />N-2022-359 <br />WORK MAY PROCEED Event Application <br />CLERK OF THE CCWNg R_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 />DATE: <br />Contact Person: Kristine <br />First Name <br />Event Information <br />Address: 20 Civic Center Plaza M-25 Santa Ana CA 92701 <br />Last Name <br />Number Street Apt. # City State Zip Code <br />E-mail: dsanchez@santa-ana.org <br />Work Phone 71( 4 )ss5 -2622 <br />Company Name: City of Santa Ana <br />Brief Company Description: <br />Company Partners or Associations if any: <br />Cell Phone: (� <br />City of Anaheim and County of Orange Workforce Development Boards <br />Type of Applicant: <br />Non -Profit Organization Government <br />0.CAkoeb000) = Community Organization <br />(� AA�ti = School <br />= Religious <br />For -Profit <br />= Corporate <br />Type of Event: <br />=Ieeting <br />=Recognition Event <br />=Other: <br />School/District <br />College/University <br />County <br />State <br />City <br />= Training =Employee Event =Workshop <br />= Fundraiser =Community Event =Conference <br />Event Name: Orange Regional Planning Unit PY 2021-24 Local Plan Update Discussion <br />Brief Event Description: Meeting with community organizations and leaders to discuss mid -cycle revision to 4 year workforce plan document <br />Event Setup Needed: Tables and chairs for @ 150 people. Details can be obtained from Annette Whittle <br />*Please confirm setup 72 hours in advance, any last-minute changes may affect availability of the tables and chairs. <br />Room being requested: <br />=Full Ballroom <br />Front Ballroom <br />=Back Ballroom <br />Date(s) of Event: 11/30/22 <br />103 fiance Room <br />102 =xercise Room <br />Setup Time: loam to 10:30am <br />Event Start:l0am & End Time:lpm Clean Up Time: to <br />Number of Guests: 150 Will there be children?=Yes E No <br />Will alcohol be served?=Yes E Vo Dance Floor Space Needed?=_Yes wo <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 fee Open to Public:=Yes=No <br />How did you hear about us?❑Referral ❑Internet Search ❑Attended an Event NOther Long term partnership w Delhi <br />1 Kristine Ridge 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. r <br />Za <br />Signature Oate <br />=Classroom <br />Classroom <br />=Courtyard <br />