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Division of Student Affairs

APPLY! REQUEST

�� Recreation Intramural Sports Outdoor Adventure Center Club Sports Facility Information Facility Reservation Student Employment Anderson Bike Program Staff Directory Policies About Us �� Health and Well-Being Student Affairs Home Sign Waiver E-Pay

Contact Information

�� Recreation
Student Recreation Center
P: 256.765.6019

Glenda Richey
Director, �� Recreation
gkrichey@una.edu

Luke Persall
Coordinator, Competitive Sports and Outdoor Recreation
lpersall@una.edu

Anna Bingham
Senior Administrative Assistant
abingham@una.edu

Facility Reservation

To request a facility reservation, please fill out the form below. �� Rec staff will contact you regarding approval status and, if necessary, pricing information. Please send further inquiries to lpersall@una.edu.

*Facility reservation fees are based on participant count, time, and type of event.

- indicates required field

Primary Contact Person

Phone

Email

Name of Group

Name of Event

Start Date

Setup Start Time Format HH:MM am/pm

End Date

End Time Including Clean Up Format HH:MM am/pm

Area Requested

Intramural Field

Gymnasium

Aerobics Studio

Outdoor Adventure Center

If you selected Gymnasium how many courts will you need?

1

2

3

Do you have a rain site?

Yes

No

If yes where?

Estimated Attendance?

Will there be paying participants?

Yes

No

Description of Event

Will you need equipment?

Yes

No

If yes please list equipment needed

Will you need water hookups?

Yes

No

Will you need electric hookups?

Yes

No

Will you need garbage cans?

Yes

No

Do you have any special lighting requests?

Yes

No

If yes please list what special lighting do you need.

Will you need tables and chairs?

Yes

No

If yes please list how many of each.

Will you need access to the Field House bathrooms at the Intramural Field?

Yes

No

Will you need officials or other ��Rec staff?

Yes

No

Will you need to schedule a campus police officer?

Yes

No

Are you working with any off-campus vendors or companies?

Yes

No

If yes please list contact info for each vendor or company.

Please make sure all required fields have been filled out correctly.

Submission received!

Florence, AL 35632
(256) 765-4100

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Facility Reservation

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