*Indicates required fields.
First Name: *
Last Name: *
Phone Number: *
E-mail Address: *
Date of Request:
Anticipated Maximum Attendance:
Start Time (AM / PM):
End Time (AM / PM):
Admission Fee? (Yes/ No) If yes what is the cost?:
Please include a brief description of the event, and a facility diagram.
Please list any additional equipment needs. (Tables, microphones, etc.)
Please include any additional comments/ suggestions here.
All anticipated cost associated with hosting the event in a University facility will be determined by the appropriate facility manager at the time he/she signs the reservation form. If the facility manager determines that a need exists for security services, UPD, along with the appropriate facility manager, will discuss and determine the number of officers needed to host the event.
If you agree to these terms and conditions, insert your initials here:
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