SWOSU Wesley Facility Usage Request & Agreement

ORGANIZATION/GROUP NAME*

REPRESENTATIVE NAME*

REPRESENTATIVE PHONE*

REPRESENTATIVE EMAIL*

example@example.com

DATE OF EVENT*

Date

TIME OF EVENT*

Is this a recurring event?*

YesNo

If yes, will it be the same day & time?*

YesNo

Rooms you are requesting:*

Recreation RoomChapelDining HallLibrary

Are you a SWOSU student or organization at SWOSU?*

YesNo

I FULLY UNDERSTAND THAT NO RESERVATION IS CONSIDERED MADE UNTIL THIS FORM ISRETURNED AS APPROVED AND SIGNED BY THE WESLEY EXECUTIVE DIRECTOR/CAMPUSMINISTER.

I UNDERSTAND AND AGREE THAT I HAVE READ AND WILL ABIDE BY THE SWOSU WESLEYFOUNDATION FACILITIES AND PROCEDURES MANUAL, AND THAT FAILURE TO DO SO MAYRESULT IN THE TERMINATION OF MY EVENT AND/OR THE TERMINATION OF ANY FUTUREEVENT.

IF I AM A SWOSU STUDENT OR SWOSU ORGANIZATION, I UNDERSTAND THAT THOUGH NOCOST IS BEING CHARGED FOR THE UTILIZATION OF THE REQUESTED SPACE, ANY DAMAGEBEYOND NORMAL WEAR AND TEAR OF THE RESERVED SPACE MAY RESULT IN THE ENDINGOF THE RESERVATION AND/OR THE REFUSAL OF FUTURE RESERVATIONS, AND/OR THEBILLING OF THE REQUIRED DEPOSIT, FEES, AND COST TO REPAIR DAMAGES.

IF I AM NOT A SWOSU STUDENT OR SWOSU ORGANIZATION, I UNDERSTAND AND AGREETO PAY A DEPOSIT AND FEE OUTLINED IN THE FACILITIES AND PROCEDURES MANUAL.

Wesley Staff Only:

ApprovedDenied

ORGANIZATION REPRESENTATIVE SIGNATURE *

WESLEY EXECUTIVE DIRECTOR OR DESIGNEE SIGNATURE