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Customer Information
Contact Person
*
Telephone Number
*
Cell Phone Number (optional; if different than above)
E-mail Address
*
Department/Student Organization Name
*
Meeting/Event Information
Event Name
*
Description
*
Event Date(s)
*
Reoccurrence
Once
Weekly
Monthly
Set-up Time
:
HH
MM
AM
PM
AM/PM
Event Start Time
*
:
HH
MM
AM
PM
AM/PM
Event End Time
*
:
HH
MM
AM
PM
AM/PM
Event Type
Meeting
Conference
Student organization event
Banquet
Reception
Performance
Anticipated Attendance
Will you need audio visual assistance at your event?
Yes
Will your event involve music, singing, or amplified sound other than a PA system for speakers?
Yes
Audio Visual Equipment/Additional Furnishings
Cart/Stand
Data projector
VGA cords
Microphone (wireless)
Microphone (standard)
Podium
Table
Overhead projector
Television
DVD/VCR
CD player
Audio conference system
Easels
Easel pads
Projection screen
Extension cord
Mic stands (tabletop or floor)
Are you requesting to serve alcohol through the Associate Dean of Students Office? If yes, you are required to get
authorization
from the Associate Dean of Students Office.
Yes
No
Are individuals from outside the university attending?
Yes
If Yes, how many?
Are you:
charging admission
charging a registration fee
collecting donations
conducting a fundraiser
(If so, you must get
authorization
from
the Dean of Students Office.)
Are you selling any items or services?
Yes
Does your event include decorations?
Yes
If Yes, what kind?
Will there be support for/opposition to a candidate, ballot, measure, or legislation?
Yes
Would you like your event listed on the Puget Sound Events Calendar?
Yes
Location & Setup
Please consider accessibility needs in prioritizing your room preferences. If you have questions about accessible spaces on campus please contact the WSC Operations office at 253.879.3236.
Room Choice 1
*
HR Conference Room (12)
Jones 010 (10)
Kilworth Chapel (300)
Kilworth Lounge (100)
McCormick (25)
Misner (20)
Rasmussen Rotunda
Schneebeck Concert Hall (490)
Technology Services Conference Room (10)
Trimble Forum
Wheelock 108--Murray Boardroom (35)
Wheelock 201 (20)
Wheelock 202 (10)
Wyatt 226 (12)
Wyatt 326 (12)
Other (specify below)
Room Choice 2
*
HR Conference Room (12)
Jones 010 (10)
Kilworth Chapel (300)
Kilworth Lounge (100)
McCormick (25)
Misner (20)
Rasmussen Rotunda
Schneebeck Concert Hall (490)
Technology Services Conference Room (10)
Trimble Forum
Wheelock 108--Murray Boardroom (35)
Wheelock 201 (20)
Wheelock 202 (10)
Wyatt 226 (12)
Wyatt 326 (12)
Other (specify below)
Room Choice 3
*
HR Conference Room (12)
Jones 010 (10)
Kilworth Chapel (300)
Kilworth Lounge (100)
McCormick (25)
Misner (20)
Rasmussen Rotunda
Schneebeck Concert Hall (490)
Technology Services Conference Room (10)
Trimble Forum
Wheelock 108--Murray Boardroom (35)
Wheelock 201 (20)
Wheelock 202 (10)
Wyatt 226 (12)
Wyatt 326 (12)
Other (specify below)
If you selected "Other" on any of your room choices above, please specify.
Please select one of the following styles:
Classroom style
Theatre style
Banquet style
Reception style
Other
If other, please specify:
Catering
I have arranged catering for this event through Catering Services (253.879.3263).
Puget Sound Dining and Conference Services (including Catering Services) is the exclusive provider of food services for the University of Puget Sound. Once a hold confirmation is received, please direct all food services questions to Catering Services.
Liability
I agree to abide by all of the Puget Sound Facility Use Policies and
Union Board policies
. For liability purposes I agree to ensure that the guests and members of the organization will not damage, tamper with, or use any furnishings/equipment for anything besides its dedicated purpose. I further understand that if any damage does occur, I will be held liable. I understand that this form does not represent a confirmed registration, and that any misrepresentation of the nature of my event may result in additional charges or denial of facility use.
*
Yes
No
Additional Comments/Requirements
If you have any additional requirements or comments about your event, please list them below.
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