Facility Rental Request Form
Name:
Organization & Activity:
[
[
Day of Event (1st Choice): M T W Th F Sa Su
Date of Event (1st Choice):
nd
] CSU Organization
] Member (#: _______________)
nd
Day of Event (2 Choice): M T W Th F Sa Su
Date of Event (2 Choice):
Time Event Begins:
Time Event Ends:
Event Setup Begins:
Event Cleanup Ends:
Estimated Attendance:
Age of Attendants:
Telephone Number:
Email Address:
Serving Food and/or Drink:
YES
NO
[ ] Non-CSU
[ ] Non-Member
/
/
/
/
Catered By: [ ] CSU Dining [ ] Non-CSU (requires waiver)
CSU Budget (14-digit code required for CSU facility rental rate; will only be charged if necessary):
____ ____ ____ ____- ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____
Area(s) Requested: Please place an “x” in the following spaces.
Recreation Center Spaces
[ ] After Hours Facility Rental
[ ] 50m Competition Pool
[ ] 25yd Instructional Pool
[ ] Administration Conference Room
[ ] Green Roof
[ ] Lobby
[ ] Game Room
[ ] MAC Gymnasium
[ ] Indoor Track
[ ] Basketball Court #1
[ ] Basketball Court #2
[ ] Racquetball Court #1
[ ] Racquetball Court #2
[ ] Squash Court #1
[ ] Squash Court #2
[ ] Studio 112
[ ] Studio 158
[ ] Studio 227A (Spinning Studio)
[ ] Studio 229B
Setup(s) Requested:
[ ] LECTURE STYLE – rows of chairs facing tables at the front of the room (additional charges may apply).
[ ] CLASSROOM STYLE – rows of tables & chairs facing the front of the room (additional charges may apply).
[ ] OTHER – please provide a specific diagram or special instructions (additional charges may apply).
Setup Details:
I certify I have read and agree to the CSU Recreation Center Facility Reservation Policies.
I certify and give permission to have the CSU Budget charged from the above information if necessary.
Signature:__________________________________________________ Date:_______/_______/_______
For Office Use Only
Received By:
Date Received:
Approved/Initials: YES NO ___________
Signature of Policies: YES NO ___________
Confirmation Contract: YES NO ___________
Confirmation Invoice: YES NO ___________
Entered CSI: YES NO ___________
Liability Insurance: YES NO ___________
Rental Price: $__________ Deposit: $__________
Rental Fee Collected: _____/_____/_____ _________
Details: