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:*

Rec Center Facility ReservationAquatic ReservationClimbing Wall ReservationTeam Building Session
I would like to book the following areas (SRC):

Entire Student Rec Center (Shared Use)Entire Student Rec Center (Exclusive Use)Climbing WallGym Court 1Gym Court 2Gym Court 3Gym Court 4Racquetball CourtsWallyball CourtsWeight RoomDance Room (Group Fitness Studio)Spin RoomOutdoor Courtyard
I would like to book the following areas (Aquatic):

Lane Rental - Cooper PoolHalf Pool - Cooper PoolFull Pool - Cooper PoolAndrews Pool (leisure pool)*Coaches / Hospitality RoomCooper Pool BleachersColorado Timing System
*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):

Problem SolvingDecision MakingTrust BuildingCommunicationTeamwork
List preferred location if somewhere besides the Student Recreation Center:
Are there participants with special needs?

YesNo
Please describe:
I would like to book the following:

Adaptive Programming
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

Add More Dates...
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?

YesNo
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

Group OrientationPush CartsCustodial Services
Is the group providing athletic trainer or medical personnel?

YesNo
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

Add More Vendors...
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