Upon request of any college official, participants are required to provide a completed copy of this form as proof of registration for use of the designated area. A copy of your submission will be sent to the email address you provide.

Central Piedmont Community College is committed to supporting freedom of speech and recognizes that free speech is the best means for arriving at truth and mutual understanding. The college also recognizes that the rights to assemble peaceably and to petition the government for redress of grievances are important components of free speech. Therefore, the college will protect the rights of free speech, petition, and peaceable assembly as set forth in the U.S. Constitution. However, it is also the responsibility of the college to provide a suitable environment for its students, faculty, and staff to study, conduct research, and perform other activities without undue interference or disturbance.

Before completing this form, please read Central Piedmont policy 2.17 and related procedures in their entirety to ensure compliance with college policy.

This form shall be completed and handed in to Central Piedmont officials at least three (but no more than 30) business days in advance. A separate registration form is required for each day you will be on campus. Please complete all sections of this form.