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Facility Rental Request Form

Please follow the prompts below to have your needs addressed. If you have questions, please call (513) 529-6868 or email wach@MiamiOH.edu.

Is this a new request?

 Yes
 No

Rental Change Form

First Name *
Last Name *
E-mail *
Phone *   123-456-7890  
Rental # *
Changes *

Please provide your specific reasons for the requested changes, as well as all details, venue changes, date changes, et cetera.

Verification *
Statement of Understanding *

I understand that this form is a request for a Recreational Sports rental and the completion of this form does not guarantee my rental request. I have read and fully comprehend the facility and rental policies contained in the Rec Sports Facility Rentals Handbook. Clicking "I Agree" and "Submit" below, you agree to the above statement.

I Agree  
* denotes a required field

New Request Form

First Name * Last Name *
Address 1 *
Address 2
City * State * Zip *
E-mail *
Phone #1 *   123-456-7890
Phone #2   123-456-7890
Miami Affiliation *
Student Organization Name *
Miami Department Name *
Non-Miami Affiliation Name *
Payment Method
 Visa
 MasterCard
 Discover
Account # 
Event Frequency *
 One Time Event  Multiple Dates  Recurring
Date *  
Start Time *     AM   PM
End Time *     AM   PM
Date 1 *   Start Time *     AM   PM End Time *     AM   PM
Date 2 *   Start Time *     AM   PM End Time *     AM   PM
Date 3     Start Time       AM   PM End Time       AM   PM
Date 4     Start Time       AM   PM End Time       AM   PM
Date 5     Start Time       AM   PM End Time       AM   PM
Date 6     Start Time       AM   PM End Time       AM   PM
Date 7     Start Time       AM   PM End Time       AM   PM
Date 8     Start Time       AM   PM End Time       AM   PM
Date 9     Start Time       AM   PM End Time       AM   PM
Date 10     Start Time       AM   PM End Time       AM   PM
Start Date *  
End Date *  
Start Time *     AM   PM
End Time *     AM   PM
Day of the Week *
Mon  Tue  Wed  Thu  Fri  Sat  Sun

[Please add more info as needed]
 
Event Name *
Type of Event [Check all that apply] *
 Birthday Party/General Admission
 Practice
 Sporting Event
 Instructional Class
 Meeting
 Promotion
 Performance
 After Hours
 Other
 [Please specify] *
Specific Activities
[List all activities] *
Will additional equipment be needed?
 No
 Yes
[Please list] *
Expected Attendance *
Age of Participants *
Location *
 Phillips Hall hours
 Withrow Court hours
 Rec Center hours
 Outdoor Spaces
 Other
Phillips Hall      
 Main Gym (all courts)      
   Court 1      
   Court 2      
   Court 3      
 Dance Studio      
 Racquetball Courts (all courts)      
   Court 1
   Court 2
   Court 3
   Court 4
   Court 5
   Court 6
Withrow Court      
 Main Gym (all courts)      
   Court 1      
   Court 2      
   Court 3      
Aerobics/Combatives Room
   Room #44 (carpeted)      
   Room #49 (Mondo flooring)      
North Gym      
   [limited/gymnastics]
South Gym      
   [limited/tennis]
 Racquetball Courts (all courts)      
   Court 1
   Court 2
   Court 3
   Court 4
   Court 5
   Court 6
   Court 7
 Squash Courts (all courts)
   Court 1
   Court 2
   Court 3
Classrooms
   Room #202      
   Room #212      
Rec Center      
Group Activity Package (Birthday Party/"General Admission")
  Small Group [10 or less]
  Large Group [10+ discount]
DRY SIDE

 Main Gym (all courts)      
   Court 1      
   Court 2 [volleyball/tennis]      
   Court 3 [volleyball/badminton]      
   Court 4 [soccer/dodgeball/vb]      
Exercise Performance Rooms
   Aerobic Room "A"      
   Aerobic Room "B"      
Lounges
   Vending Lounge      
   North Lounge [TV]      
   South Lounge      
 Main Concourse (entire concourse)      
   North Concourse      
   Central Concourse      
   South Concourse      
 Track      
 Climbing Wall      
 Dry Classroom [25 max]      
WET SIDE

 Spectator Gallery (entire gallery)      
   North Gallery [Dive Well]
   Central Gallery
   South Gallery
 Dive Well (entire dive well)      
   1M Diving Board [East]
   3M Diving Board [West]
   Dive Tower
 Leisure Pool (entire leisure pool)      
   Spa
   Resistence Channel
   0" Entry Pool
   Patio      
   Sand Volleyball      
 50 Meter Pool (entire pool)      
   East end 25 yard Pool      
   West end 25 yard Pool      
   Individual Pool Lanes      
 AQ Conference Room [8 max]      
 Wet Classroom [50 max]      
Outdoor Spaces
 Bunger Quad      
Cook Field      
   Field 1 [SW]      
   Field 2 [SE]      
   Field 3 [NE]      
   Field 4 [NW]      
   Cook Field Lights
 5k Run – Route information
 DeWitt Field (all fields)
   Field 1 [E]
   Field 2 [W]
Sand Volleyball Courts
   Harris Court
   Morris Court
Other
[Please specify]
 
Verification *
Statement of Understanding *

I understand that this form is a request for a Recreational Sports rental and the completion of this form does not guarantee my rental request. I have read and fully comprehend the facility and rental policies contained in the Rec Sports Facility Rentals Handbook. Clicking "I Agree" and "Submit" below, you agree to the above statement.

I Agree 
* denotes a required field
Questions? Call (513) 529-6868 or email wach@MiamiOH.edu