Facility & Event Reservation Request Form

Contact/Applicant
*Name:
*Phone:
*E-mail:
Campus Organization Information
Group/Club/Dept:
Account no.:
Off-Campus Organization Information
Organization Name:
Address:
City:
State: Zip:
Certificate of insurance is required.
Event Information
*Event Title:
*Event Description:
*Date of Event:
*Do you want the event to be
on the master calendar?
Yes No
*Setup Time: A.M. P.M.
*Time of Event: A.M. P.M.
*End Time: A.M. P.M.
*Tear Down/Cleanup Time: A.M. P.M.
Recurring Meeting: Day of the week:
Other dates or instructions:
*Location Requested:
*2nd Choice Location:
*Planned Attendance:
*Target Audience: (check all that apply)
Students Faculty Staff
Public Private Event Child-appropriate
Parking or Safety Needs:
Will Aramark be catering your event? Yes No
Will alcohol be served? Yes No
You must contact the catering manager for menu options.
If you would like photography, please contact: communications@hartwick.edu.

Setup Information

Tables: 6-ft: Round:
Do you want the tables skirted? Yes No
Do you want the tables covered? Yes No
Chairs:
White Podium:
Brown Podium:

Other setup needs:
*
*

Audio-Visual Services Needed:

Polycom:
Microphone(s):
Data Projector (for computer):
Overhead Projector(s):
Slide Projector(s):
TV/VCR(s):
Screen(s):
Other AV needs: