Reservation Form

Reservation Form:

Quad, Scott Plaza, Bayou Park

Student Life and Leadership

Chris Williams

Phone: 318-342-5289

Email: jwilliams@ulm.edu

Name of Dept/Organizaion: *

Name of Event: *

Event Date: *

Month

Day

Year

Is this a recurring event? *

Yes

Please list all the recurring dates for this event in the textarea below: *

Location Requested: *

Contact Person: *

Cell Number: *

Email: *

Faculty Advisor: *

Faculty Advisor Email: *

Event Start Time: *

Hour

Minute

Event End Time: *

Hour

Minute

Time Needed to Set up:

Time Needed to Tear down:

Total Time: *

How many attendees are expected?

Will the Monroe community be allowed to attend this event (non-ULM)?

Event Description:

Form Agreement *

I understand that my group is responsible for ordering any tables, chairs, trash cans, etc. needed for our event from the Physical Plant. I understand that filling out this form does NOT guarantee usage of the desired space. I understand that I will receive a confirmation if and when this request is approved. I understand that if I use any of these facilities and play music, the music played must be radio edit. If non-radio edit music is played, the event will be shut down. I understand I will receive only one warning for misuse of any facility. After that, the organization may be suspended from use of that facility for up to one year.

Signature (Full Name): *

Date: *

Month

Day

Year

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

          ____    ____    ____            _____
  _   _  |  _ \  |___ \  | __ )   _   _  |__  /
 | | | | | |_) |   __) | |  _ \  | | | |   / / 
 | |_| | |  __/   / __/  | |_) | | |_| |  / /_ 
  \__, | |_|     |_____| |____/   \__, | /____|
  |___/                           |___/

Enter the code above *

Enter the code depicted in ASCII art style.