CAMPUS RECREATION Facility Request Form

Facility Request Form
The University of Montana
Missoula, MT 59812
(rental rates available on opposite side)
Club or Group requesting facility: _________________________________________________________
Contact Person: _______________________________________________________________________
Address: _____________________________________________________________________________
City, State, Zip: _______________________________________________________________________
Phone Number: _____________________________
Email Address: ______________________________
Schreiber Gym
Riverbowl West
Dornblaser North
FRC Multi-Purpose Rm
Riverbowl East (tailgate area)
Dornblaser Central
Tennis Courts: please indicate how many (9 available): _____
Dornblaser South
For what will the facility be used? _________________________________________________________________
Please write out the Days,
Dates, and Times you are
Please be specific!
The undersigned, ________________________ , requests permission to enter and use the above specified premises and particular
areas within the premises, located at The University of Montana, Missoula, MT, and to participate in
___________________________[indicate activities] to be held on ________[dates]. I have inspected the premises and I know the
risks and dangers involved in such activities, and that unanticipated and unexpected dangers may arise during such activities. I
understand that these risks can cause injury to my person and property that may be sustained in connection with the stated and associated
activities, in and about the premises.
I understand that my group will be responsible for the condition of the facility during the hours of occupation, and that my group will
restore the said facility to pre-use condition. I also understand that my group is responsible for all damage to facility or to equipment
located in said facility that occurred during our use. No food, beverages, or street shoes are allowed on the gym floors.
I knowingly assume any and all risks connected with the activities associated with the use of these facilities, and agree, to the
extent permissible by law, to indemnify and hold harmless The University of Montana in Missoula, its officers, agents, employees
and all third party property owners where the program activities occur, from any and all costs, charges, claims demands, losses, damages,
causes of action, suits and liabilities of any kind, including the expenses of litigation, court costs and attorney’s fees, for injuries to, or the
death or illness of any person, or for damage to any property arising out of or in connection with my involvement in the activities except
to the extent any such insured and indemnified activities result from the negligent or other tortious act(s) or omission(s) of The
University of Montana in Missoula.
I have read and understand the foregoing acknowledgement of risk and obligations above.
Signature of person responsible for the use of facility
To be filled out by Campus Rec Admin: Approved _______ Cost $________ Invoice Sent (date) ________ Pmt Rec’d (date) _________
Campus Recreation Facility Rental Rates
For more information please call 243-2804.
Indoor Facilities
Schreiber Gym
Student Groups
Campus Groups
Monday - Friday
FRC Multi-Purpose Room
(all groups, per room)
$5.00 / hour
$20.00 / hour
$10.00 / hour
$20.00 / hour
$20.00 / hour
$20.00 / hour
Outdoor Facilities
Dornblaser South
Dornblaser Central
Dornblaser North
East Riverbowl Field (tailgate area)
Riverbowl Field
Tennis Court
Saturday & Sunday
Less than 4 hours
More than 4 hours
Per Court / Hour
Full Day Charge All Courts
Private For-Profit: $6.00
Non-Profit: $3.25
Renting courts for Tennis Instruction must be approved through Campus Recreation
Management. Contact Number 243-2804.
Payment is due ten (10) days prior to the reserved date. If request and approval is made within ten days,
then payment is due immediately. An invoice will be sent via email or mail to the contact person, and
payment can be made by check through the mail, or via check, credit card, or cash at the front desk of the
Fitness & Recreation Center.