Facility Reservation Form

Reservations for the gym (half court), Auxiliary Activity Room, Assessment Room, Track, Cardiovascular Area, Pool, Free Weight Area, and Sand Volleyball Court may be made by filling out a room reservation form available at the Kirmayer Fitness Center Office or by completing the Facility Use Request.

Day of event:__________________

Name of person making request:_____________________________________

Phone (Home and work):___________________________________

Sponsoring Organization:____________________________________

Home Address:________________________________

____________________________________________

Anticipated number of participants:___________________

Anticipated number of spectators:____________________

Is there an admission charge and/or entry fee to participate in the event:
yes ______ no______

If yes, how much:_________________

Is there a spectator charge: yes_____ no______

If yes, how much:_______________

Anticipated revenue from spectator charge:______________________

Are concessions going to be sold: yes______ no_______

If yes, what is the anticipated revenue from concessions:___________________