Student Recreation Center: Event Request Form

BGSU Student Recreation Center Event Request Form
Sponsoring Organization
(represents who is legally responsible for this proposed event)
Contact Person
(represents who is legally responsible for this proposed event)
Student Representative
(if different than the legally responsible contact)
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Daytime Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
E-mail
Please provide as much information as possible. Contact Dave Hollinger for additional assistance or information:

419-372-7477 | holling@bgsu.edu
Brief description of the activity or event you are planning:
Select a category for your request:
I would like to book the following areas (SRC):
I would like to book the following areas (Aquatic):
*Andrews Pool must remain open to all SRC members during regular facility hours. Private events can be requested outside regular facility hours for an additional cost.
I would like the following areas addressed (check all that apply):
List preferred location if somewhere besides the Student Recreation Center:
Are there participants with special needs?
Please describe:
I would like to book the following:
Your Goals: How will we know if we have met the needs of your group?
The most challenging details of this event will likely be:
Booking for Specific Dates/Times:
If requesting more than five (5) dates, contact Dave Hollinger to provide additional date requests.
Activity 1: Date

MonthDayYear
Set up begins
Event begins
Event ends
Takedown ends
- Activity 2: Date
  
  MonthDayYear
- Set up begins
- Event begins
- Event ends
- Takedown ends
- Activity 3: Date
  
  MonthDayYear
- Set up begins
- Event begins
- Event ends
- Takedown ends
- Activity 4: Date
  
  MonthDayYear
- Set up begins
- Event begins
- Event ends
- Takedown ends
- Activity 5: Date
  
  MonthDayYear
- Set up begins
- Event begins
- Event ends
- Takedown ends
- Anticipated Attendance
- BGSU Student Participants
  # not including spectators
- Non-BGSU Student Participants
  # not including spectators
- Participant Age Range
- Number of Coaches/Instructors/Chaperones
  Adult supervision required. Minimum ratio of 1 adult to 10 participants.
- Anticipated # of Spectators
- Est. # of Parking Passes
- Facility / Equipment Needs
- Will you be using equipment that requires electricity?
- Describe your electrical needs / set up
  Groups will need to provide their own extension cords.
- Rectangular Tables (20 max)
- Round Tables
- Folding Chairs (200 max)
- Bleachers (6 units max)
- Table Tennis (1 max)
- Stage Sections (6' x 4')
- Special Facility Needs
- Is the group providing athletic trainer or medical personnel?
- Please review the Recreation and Wellness Food, Drink, and Concession Policies (PDF)
- Is food/drink being provided, served or sold? Please explain:
- Name of Vendor #1
- Contact Person
- Dates for Vendor (Begin)
  
  MonthDayYear
- Dates for Vendor (End)
  
  MonthDayYear
- Name of Vendor #2
- Contact Person
- Dates for Vendor (Begin)
  
  MonthDayYear
- Dates for Vendor (End)
  
  MonthDayYear
- Name of Vendor #3
- Contact Person
- Dates for Vendor (Begin)
  
  MonthDayYear
- Dates for Vendor (End)
  
  MonthDayYear
- Any additional information? Please provide special set up needs, additional date explanations or any other pertinent information.
- After submitting, an e-mail copy of the booking request is sent to the address provided in this form. This serves as a confirmation that the form was submitted, however the booking for your event is not be finalized until it is confirmed by a staff member.
- Should be Empty:

BGSU Student Recreation Center Event Request Form

Booking for Specific Dates/Times:

Anticipated Attendance

Facility / Equipment Needs