Wufoo

Name of Club or Organization Sponsoring the Event/Fundraiser:
Contact Name First Last
Email
Phone Number ### - ### - ####
Proposed Date of Event: MM / DD / YYYY
Start Time: HH : MM : SS AM/PM
End Time: HH : MM : SS AM/PM
Brief Description of Event:
Online Signature

By checking below, I assert that our student organization is in good standing with the college, and that we understand and agree to the fundraising policies & procedures as outlined on the LSC-Montgomery Office of Student Life website. My group agrees to abide by these policies, and to hold this event or fundraiser ONLY upon receipt of confirmation and approval by the Director of Student Life, Aaron Salas.
I agree to the above and will abide by the event guidelines of LSC-M and the Office of Student Life.
Do Not Fill This Out