Social Event Registration Form

DEADLINE FOR REGISTRATION IS 11 AM THURSDAY THE WEEK PRIOR TO THE EVENT. Failure to notify Fraternity & Sorority Affairs of event cancellation by 11 AM the week prior to the event will result in chapter incurring security staff charges.

Today's Date:

Sponsoring Group(s):
Building Number:

Social Chair of sponsoring group:
Social Chair E-Mail:
Social Chair Phone Number:

Date of Event:
Hours of Event:
Day of Event: S M T W Th F Sat

Theme:
Entertainment Offered:
Event Location: Indoor Outdoor
If an outside event is being registered, you must come down to the Office of Fraternity and Sorority Affairs to fill out a Noise Ordinance form. The event request will not be authorized until the Noise Ordinance form is completed.
DJ Live Music Dancing None Other

Number Expected to Attend: 50 75 100 125 150 175 200 250 300 350+

Event Status with Alcohol (Please Review The Social Policy)
ANSWER ALL QUESTIONS
Only choose Yes once
Host providing BEER: Yes No
B.Y.O.B.: Yes No
Cocktail Party: Yes No
Non-Alcoholic: Yes No

Alumni Event (include name & phone number of alumni responsible for event)

NAMES OF STAFF PERSON FOR EVENT

Event Liaison with LU Event Security Staff (1 person for entire event)

Requested Event Staff

Assistance at Entrance/Exit (2 people at all times)

Monitors at Alternative Beverage/Food Station (2 people at all times)

Bartenders (2 people at all times Must be 18)
Not applicable if event is non-alcoholic

By submitting this form, I authorize my chapter account to be charged for the necessary dollar amount based on required security guards and/or additional staff. I will be soon notified via e-mail if this request is authorized, including additional event details.

I have read and understood the social policy and agree to accept the provisions contained therein. I certify the information provided on this form to be correct and as host(s) accept responsibility for this social event. I also understand that I must be in attendance at the event for my group.

This form constitutes registration, not approval of the event. The host is responsible for ensuring compliance with university policy and state laws.

Name of Contact Person (must be 21):
Birtdate (mm/dd/yyyy):
E-Mail:
Phone Number:
Social Security Number:

ALL BLANKS MUST BE FILLED PRIOR TO CLICKING SUBMIT. IF YOU CLICK SUBMIT, AND A SCREEN APPEARS WITH AN ERROR, THEN GO BACK AND MAKE SURE ALL BLANKS ARE COMPLETED.