Reservation Form

Reservation Form:

Quad, Scott Plaza, Bayou Park

Student Life and Leadership

Patience Talley

Phone: 318-342-5292

Email: ptalley@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

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