Facility Request Form

Please use the following form to reqest a room reservation.
Note: Bold items are required.

Today’s Date: Saturday, November 21, 2009

CONTACT INFORMATION
Organization:
Contact Person:
Address/Office:
Address2:
City:
State:
Zip:
Phone:
Fax:
Email:
EVENT INFORMATION
Purpose for event:
Anticipated Attendance:
Date(s) of Event:
Start Time:
End Time:
Will Food be served?	Yes No Note: All food must be coordinated through Campus Dining Services at 970-247-7337.
Space(s) Requested:	Choose All That Apply Gym - 1 Court Gym - 2 Courts Gym - All 3 Courts Meeting Rm 103 Multipurpose Rm 119 Climbing Wall Racquetball Court Running Track Aerobics/Dance Studio
Equipment Requested:	Please refer to the Reservations and Rental Rates Form(PDF) for associated fees.
Questions or Comments:

The organization listed above is responsible for any damages and/or cleaning charges that are incurred as a result of this reservation.