RecPlex Locker Rental Request Form

RecPlex Locker Rental Request Form

Thank you for your interest in renting a locker at the RecPlex. Please fill out the request form below, and someone will contact you within 3-5 business days with the next steps of the locker rental process.
Pricing (Monthly)
- Half Locker: $10
- Full Locker: $15
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Requested Locker Location*

Women's Locker RoomMen's Locker RoomIce Arena Locker
Requested Locker Size*

Half LockerFull Locker
Requested Locker #*
Please be aware that you MUST receive confirmation from the RecPlex Billing Department that your rental contract has been received and processed. Do not leave your belongings in your requested locker until confirmation has been received. Your lock will get cut if you leave it on the requested locker number prior to receiving confirmation.

I have read, agree to and understand to the terms as outlined above.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: