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UCI Campus Recreation - Facility Rental Inquiry Form

Questions marked with a * are required

Organization

Event Title

Date of Event

Billing Address

ARC Facility Requested

Registered Signer (RCO Applicants Only)

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Affiliation

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Primary Contact Information

First Name

Last Name

Phone

Email Address

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Secondary Contact Information

First Name

Last Name

Phone

Email Address

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Pre-Access Time

Event Start Time

Event End Time

Post-Access Time

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Please provide a detailed description of the event below.

Please list the schedule of events if possible.

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Number of Participants

Number of Attendees

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Will this event include people from outside the UCI community? If yes, please indicate who will be joining.

Yes

Is this event being catered?

Yes

Will items/food be sold at this event?

Yes

Please check yes/no if applicable

	Yes	No
Charging Entry Fee	Yes	No

Access to Scoreboards	Yes	No

Sound Amplification	Yes	No

Microphone	Yes	No

Speakers	Yes	No

Projectors	Yes	No

White Boards + Markers	Yes	No

Eraser + Markers	Yes	No

Intramural Referees	Yes	No

Laptop	Yes	No

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Are 6 ft. Rectangle Table(s) needed? If yes, please list the amount.

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Are 72" Banquet Round table(s) needed? If yes, please list the amount.

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Are chairs needed? If yes, please list the amount.

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Are cones (set of 10) needed? If yes, please list the amount.

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Are flag belts (set of 10) needed? If yes, please list the amount.

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Are dodgeballs (set of 10) needed? If yes, please list the amount.

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Are softball bases (set of 4) needed? If yes, please list the amount.

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Are (indoor) table tennis tables needed? If yes, please list the amount.

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Are day parking passes ($13/car) needed? If yes, please list the amount

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Other requests, questions, or notes:

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