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Activity Request

Please complete the form below. Required fields marked with an asterisk *

Primary Contact Person's Email*

Answer required for "Primary Contact Person's Email"

Name*

Answer required for "Name"

Sponsoring Organization*

Club, Team, Program

Answer required for "Sponsoring Organization"

Activity / Event Name*

Answer required for "Activity / Event Name"

Activity Description

Answer required for "Activity Description"

Activity Date*

Answer required for "Activity Date"

Additional Dates (if applicable)

Answer required for "Additional Dates (if applicable)"

Setup Time*

Answer required for "Setup Time"

Event Time (Inclusive) *

i.e 9:00 AM-12:00 PM

Answer required for "Event Time (Inclusive) "

Take down/Clean up Time*

Answer required for "Take down/Clean up Time"

Periods Affected*

Answer required for "Periods Affected"

Location Requested*

Check the Calendar for Availability

Answer required for "Location Requested"

Number of Students Participating*

Answer required for "Number of Students Participating"

Names of Adult Supervisors*

Answer required for "Names of Adult Supervisors"

Name of Supervising Administrator*

Please check with Administrator for availability before putting their name down.

Answer required for "Name of Supervising Administrator"

Equipment Requested*

Answer required for "Equipment Requested"

Microphone/Sound System

Projector

Tables/Chairs

Podium

Other:

Confirmation Email

Answer required for "Confirmation Email"