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Facility Request Form
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Organization or Group Name
Affiliation with the University of Iowa
UI Student Group/Organization
UI Faculty, Staff, or Department
Not affiliated with the University of Iowa
As a UI Student Group/Organization, have you received approval from the Student Org office for your event?
Yes
No
Contact Person
Mailing Address
City, State, Zip
Phone Number
Email Address
Group Size
What type of space are you wishing to utilize?
Activity Rooms
Badminton Courts
Indoor Basketball/Volleyball Courts
Indoor Track
Meeting Room
Pool
Outdoor Basketball Courts
Other…
Enter other…
Type of Event (Select all that apply)
Competitive Contest
Meeting
Practice
Program
Who will be attending and participating in the event?
Open to the Public
Closed to Members
Will you be Requiring a Fee or Fundraising at this Event?
Yes
No
Description of Event(s)
Event Start Date and Time
Event Start Date and Time: Date
Event Start Date and Time: Time
Event End Date and Time
Event End Date and Time: Date
Event End Date and Time: Time
Equipment Required
Staff Required
Leave this field blank