Student Recreation Center - Book an Event

*Today's Date:
*Sponsoring Organization (represents who is legally responsible for this proposed event):
      
*Contact Person (legally responsible for event):
     
Student Representative:
*Mailing Address:

*Day Phone:   Cell Phone:   Fax:
*Email:

Please provide as much information as possible. If you have questions, call Dave Hollinger at 419.372.7477 for Facility Reservations, Micha (Seither) Alt at 419.372.7482 for Aquatic or Birthday Party Reservations or Jerome Gabriel at 419.372.2146 for Climbing Wall & Outdoor Programs Reservations.  If requesting SPECIFIC date(s), please complete this section. If requesting more than five (5) dates, contact Dave Hollinger (Facilities), Micha (Seither) Alt (Aquatics/Youth & Family) or Jerome Gabriel (Climbing Wall/Outdoor Programs) to provide additional date requests.

*Brief description of the activity or event you are planning:

*Check each facility area(s) requested (see page for area descriptions and costs). Additionally, view a diagram of the Student Recreation Center facility.

Full Facility		Individual Gym Courts
All Four Gym Courts		Andrews Pool
Andrews Patio		Sand Volleyball Court
Cooper Pool		Racquetball Courts
Wallyball Courts		Climbing Wall
Activity Center		Dance Room
Hospitality Room

 

Activity/Event Request #1
Day/Date:

Time(s) desired, including when:
*Set up begins (please specify am/pm):
*Activity/event begins (please specify am/PM):
*Activity/event ends (please specify am/PM):
*Take down ends (please specify am/PM):

 

Activity/Event Request #2 (only complete if requesting more than one date)
Day/Date:

Time(s) desired, including when:
*Set up begins (please specify am/PM):
*Activity/event begins (please specify am/PM):
*Activity/event ends (please specify am/PM):
*Take down ends (please specify am/PM):

 

Activity/Event Request #3 (only complete if requesting more than two dates)
Day/Date:

Time(s) desired, including when:
*Set up begins (please specify am/PM):
*Activity/event begins (please specify am/PM):
*Activity/event ends (please specify am/PM):
*Take down ends (please specify am/PM):

 

Activity/Event Request #4 (only complete if requesting more than three dates)
Day/Date:

Time(s) desired, including when:
*Set up begins (please specify am/PM):
*Activity/event begins (please specify am/PM):
*Activity/event ends (please specify am/PM):
*Take down ends (please specify am/PM):

 

Activity/Event Request #5 (only complete if requesting more than four dates)
Day/Date:

Time(s) desired, including when:
*Set up begins (please specify am/PM):
*Activity/event begins (please specify am/PM):
*Activity/event ends (please specify am/PM):
*Take down ends (please specify am/PM):

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*Anticipated number of participants (do not include spectators):
List age range of participants (if a youth group):
*Anticipated number of coaches/instructors/chaperones:
*Anticipated number of spectators:

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*Check each Special Facility Need:

Group Orientation		Overhead Projector
Pool Equipment:
Charcoal Grill (mush provide charcoal and lighter fluid)
Extension Cords:		Number:  Length:
Gym Equipment:
TV/VCR		Tables: Number
Chairs: Number		Push Carts
Electrical Needs:
Lock & Towel Service: Number		Scoreboards: Number 123
Stage (6'x4')		Coat Rack/Storage
Table Tennis: Number 1234		Bleacher Requests
Colorado Timing System		Custodial Services

*Is the group providing athletic trainer or medical personnel? yes no

 

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Please review the Student Recreation Center Food/Drink Vendor & Merchandise Policies.

*Is food/drink being provided, served or sold? Please explain:

All vendors must be contracted through the "requesting" organization.  A vendor fee of $100/day applies.

Name of Vendor #1:
Contact Person:
Dates for Vendor: to
Merchandise to be sold:

 

Name of Vendor #2:
Contact Person:
Dates for Vendor: to
Merchandise to be sold:

 

Name of Vendor #3:
Contact Person:
Dates for Vendor: to
Merchandise to be sold:

 

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Any additional information? Please provide special set up needs, additional date explanations or any other pertinent information.

After you submit your request, do not forget to print out the "Form Submitted" page, which should appear after you submit your request. This will serve as a confirmation that your form was submitted. If you have any questions, contact Dave Hollinger (Facility Requests) or Micha (Seither) Alt (Aquatics & Youth and Family).