Intro We suggest that you print this page for your records. You will be receiving an automated email response with all your submitted information, as your receipt. This form MUST be completed and approved by scheduling at least 3 BUSINESS DAYS prior to meetings and at least 2 WEEKS prior to basic event. Please allow 2 business days for processing of requests. Activity Activity Title: * Brief Description of Activity: * Date(s) of Event (mm/dd/yy): * Day(s) of Week: * Mon Tues Wed Thur Fri Sat Sun Requested Room: - None -Group Exercise Room 205Climbing Wall Room 107Open GymExterior Entry WayMain HallwayExterior Basketball Court Time Event Start Time: Hour Hour123456789101112: Minute Minute00153045 am pm Event End Time: Hour Hour123456789101112: Minute Minute00153045 am pm Reserved Start Time: Hour Hour123456789101112: Minute Minute00153045 am pm Reserved End Time: Hour Hour123456789101112: Minute Minute00153045 am pm Department: Account number (if applicable): Type of account: State Foundation Other Account Club/Affiliation: Contact Name: * Phone Number: * E-mail: Fax Number: Attendance Total Estimated Attendance: * Number of Students: Number of Faculty/Staff: Number of Off-Campus Guests: Signatures *Signature of Club Advisor:_____________________________________________________________________ *Signature of Student Leadership Development:___________________________________________________ *Signature of Financially responsible club officer/staff/faculty member: _______________________________ Date Signed: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 * These signatures are required in order for your request to be reviewed. More info on confirmation email * If you have any questions you may contact us at 909-537-2348. Leave this field blank Submit