Special/Athletic Outdoor Event Space Utilization Form

Special/Athletic Outdoor Event Space Utilization Form
Edward Waters University

1658 Kings Road, Jacksonville, Florida 32209-6199

(904)470.8247 Email: a.jefferson@ewc.edu
Nature of Event:
Name of the Event
Organization:
Organization Representative:
Contact Number:
# of Attendees:
_____ to _____
Date of Use:
_____ to _____
Time of Use:
_____ to _____
Tiger Plaza
***NOTICE***

Approval is dependent upon proof of insurance.

Vendor is responsible for providing own tables and chairs
YESNO
Apparel - $200.00Food - $300.00
Your E-mail Address*
example@example.com
Signature of Requestor*

Clear
Print Name*

First NameLast Name
Signature of Building Manager

Clear
Print Name

First NameLast Name
Date

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature of Vice President

Clear
Print Name

First NameLast Name
Date

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty: