General Information

• Department or Sponsoring Organization
• Event Description
• Name of individual making request
• Email Address
• Campus Phone Number
• Name of Contact Person who will be on-site at event:
• Cell Phone Number

Check if Contact person is the same as Individual Making Request

Date and Time Request

• Requested Date of Event                                  
• Day of the week Monday Tuesday Wednesday Thursday Friday Saturday Sunday
• Estimated Attendance
• Start Time of Event (specify AM or PM)       
• End Time of Event (specify AM or PM)     
• Time Required for Set-Up hours                               
• Time Required for Clean-Up hours

Check if this is a repeat / multiple date event (a staff member will contact you for additional dates).

Set-up for event will be done by: 
User Group  
MCG Environmental Services  
MCG Moving Services

Clean-up for the event will be done by:  
User Group  
MCG Environmental Services

**A fee may be assessed for Environmental Services Clean-up or Set-up and contacting these departments is the responsibility of the user group.   

**Set-up of the room is not included with reservation.

Space / Location Request
DA-2001 Meeting Room
DA-2021 Meeting Room 
Food Court Area
Information table in Student Center
Other Area - please indicate                                                 

Please note if your requested activity will involve the following:                                               
(In each case listed, pre-approval is required before the event will be scheduled.   Please click on the item for the list of requirements and approvals.)

Service of food - (requirements)
Service of Alcohol - (requirements)
Fundraising Event of Charging of Entry Fees - (requirements)
Start or End Outside Regular Business Hours (M-F, 8 am to 5 pm)
Start or End Outside Regular Building Hours (M-F, 6 am to 10 pm; Sat., 9 am to 5 pm; Sun., 1 - 9 pm)

Special Services Requested
If this is a special event, please identify the following services required.  If services are required, the renting group is responsible to contact and arrange for service 10 days prior to the event.  Contact information will be provided in the reply email.  A fee may be required.

Special Arrangement / Set-up of Tables and Chairs
Special Arrangement / Electrical or Internet Connection (110 or 220 volt; wireless, etc)
Special Arrangement / MCG Classroom Services (sound system, video display, etc)
Other:
Other:

Additional Comments

Reservation Agreement                                                                                                                             I have reviewed and understand the rules and regulations pertaining to the use of the facilities and agree to abide by them.  I also understand that I am required to arrange for any special considerations/services as designated.