Campus Facilities Reservation Form

Group / Individual Applicant *
Group Leader *
Email Address *
Contact Number *
Facility *
 Gym 
 Little Theater 
 Griffiths Theater 
 Dining Hall 
 Cafeteria 
 Outdoor Court 
 Neutral Ground 
 Soccer Field 
 Reflection Center 
 Binsted Conference Room 
What Facility do you want to reserve?
Month *
Day *
Year
Start Time *

HH
:
MM

AM/PM
Please Select the Start Date and Time of the activity
Month *
Day *
Year
End Time *

HH
:
MM

AM/PM
Please select the End Date and Time of the activity
Expected Number of Attendees
Purpose *
Provide a brief description of the activity for which the facility is being reserved
Required Equipment
 LCD Projector 
 Overhead Projector 
 Audio Equipment 
 Microphone 
 DVD / CD Player 
 VHS Player 

Check all that apply
Other Requirements
Type other requirements / equipment / manpower assistance needed for the activity
Email
Email
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