| Contact Person & Phone Number * | | |
| Activity * | | |
| Cost Involved | | |
| Start Date * | |
|
| End Date * | |
|
| Does your activity repeat? If so, on what days (weekly or monthly)? | | |
| Please specify day(s) of the week * |  | |
| Set-up Time | | |
| Activity Begins at * | | |
| Activity Ends at * | | |
| Clean-up Finished at | | |
| Need postcards sent by mail? If so, to whom or what group? | | |
| Facilities Requested * | | |
| Room number or off-campus location (for B, D, and Education Buildings) | | |
| Set-up |  | |
| Tables | | |
| Chairs | | |
| Serving Lines | | |
| Table cloths? If so, how many? | | |
| Childcare (1st - 4th Grade)? If so, how many? | | |
| Childcare (Infant - Kinder)? If so, how many? | | |
| Kitchen Needed * | | |
| Approved Drivers | | |
| Transportation * | | |
| Departure Time? | | |
| Return Time? | | |
| Number of Passengers? | | |