Rental Inquiry Form

Your name: Contact for this event?

Organization:

Affiliation: Faculty/Staff Department Registered Student Organization Community

Address:

City: State: Zip:

Phone: Cell: Fax:

E-mail address:

Payment method: Check Cash Credit Card Intra-Fund and Cost Center

Event name:

Date(s) of event: Building: Open Closed

Event begins: Event ends:

Set up time required? Yes No
Indicate length of time:

Tear down time required? Yes No
Indicate length of time:

Describe your event:

Number of adults: Number of children:

Entrance:
First floor East racquetball corridor
East/Second floor stairwell
First floor under bridge
Third floor (Bernhard Center)

Specific area(s) or site(s) requested:
Classroom
First floor gym
Third floor gym
Multipurpose gym
Pool
Racquetball courts
Tennis/asphalt
Climbing Wall
Intramural softball/football
Intramural soccer

Outdoor lighting:
Not applicable On Off

Electrical/patch panel:
Yes No
Where: For:

Will there be food?
Yes No
(If yes, food is allowed in specified areas and there will be additional custodial charges)

Equipment required?
Tables Chairs Other