Request to Film or Shoot Photos on Campus First & Last Name Company Name Phone Number (With area code) Email Address Type of Project Proposed date(s) Proposed Time(s) Requested Location(s) Check all that Apply Rotunda Courtyard Flagler Room/Parlor Dining Hall Exteriors Only West Lawn Library Auditorium Gym Markland Other Purpose of this project (Please be specific. The more detail you provide, the quicker you will receive a response.) Crew (include number of people and their roles) Specific requests (parking, electricity, security, etc.) Please consider waiving the fee for my project. It is for non-commercial purpose. Yes No Do you have a certificate of liability insurance? Yes No Will Flagler College be credited in the finished project? Yes No