RSS Activity Registration Form 2.1

Activity Registration Form
The activity registration form is required to request practice reservations and hold special events at RSS and Saluki Athletics facilities. Please complete this form for the following situations:
- Notifying the Competitive Sports Office that club related practices, home competitions, or special home events will occur at non-RSS and non-Saluki Athletic events.
- Requesting on-campus practice space(s) at RSS or Saluki Athletics facilities,
- Requesting reservations for special events located at RSS and Saluki Athletics facilities.
To report official trips, please complete the RSS Travel Request Form.

Activity Registration Form
Sport Club*
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
What is the purpose of your event?*

Event Staffing
Please consult with the Competitive Sports Office regarding sport officiating needs, ambulance services, and athletic trainer services. The Competitive Sports Office and/or your National Governing Body (NGB) may require that such services be provided.
Does the Competitive Sports Office need to provide sport officials?*

YesNo
How many officials are you requesting? Do you require certified sport officials?*
Sport officials' rates will vary and will be set by the Student Officials' Association (SOA). RSS Sport officials will be provided after Competitive Sports programming needs have been met. When certified sport officials are needed, local scholastic assignors will set the officials' and terms for providing service.
Do you need Athletic Trainers for your event?

YesNo
How many Athletic Trainers are you requesting?
The SIU Competitive Sports Office cannot guarantee that athletic trainers can be provided. Please be aware the Orthopeadic Clinic may cancel scheduled Athletic Trainer services with warning.
Do you need ambulance services for your event?*

YesNo

Food and Vending
Please follow all RSS and SIU policies regarding food handling and securing the services of caterers, food trucks, and food stands

Serving Food
- All servers must wear gloves.
- Individuals cannot handle money and food in the same gloved hand.
- Common allergens for all food must be clearly displayed on a sign.
- All items must be individually wrapped.
Vendors
- Caterers, food trucks, and food stands must appear on the SIU Approved Caterers & Food Trucks list.
  - The vendors listed have been approved by Procurement Services for catering events for the SIU Carbondale campus.
  - These vendors have a current Certificate of Insurance, a Health Department Certificate/Permit, and a Catering Contract on file within Procurement Services.
  - For questions or if choosing a caterer other than the ones listed, please contact Floyd Tellor at 453-4753.
Do you plan to provide or sell food at this event?*

YesNo
What type?*

PrepackagedCaterer/Food Truck/Food StandDelivered
Please list all food and beverages for sale.*
Do you plan on having outside vendors present?*

YesNo
Do you plan to sell anything else (merchandise, apparel, other items) at this event?*

YesNo
Please list all merchandise being sold.*
Please upload photos of your merchandise, apparel, or other items.*

Cancelof

Raffles
Definition of a Raffle

In Illinois, a raffle is legally defined as a form of lottery where individuals pay for a chance to win a prize, with the winning chance determined by a random drawing or other method based on chance, but not by the outcome of a publicly exhibited sporting event.

In a raffle, it is important to note that the prize is rewarded due to chance or luck. No skill or adequate level of performance is needed.

Raffle Alternatives

Here are some alternatives to a raffle:
- Guess the number of quarters in a jar.
- Guess the weight of the fish in the photo.
- Guess how many worms are in the bucket.
Are you planning to hold a raffle as defined by Illinois law?*

YesNo
- Raffles are permitted in the state of Illinois pending the sponsoring registered student organization has secured the appropriate University approvals (via a space reservation and approval from facility to hold a raffle) and a raffle license.
  - Once the raffle license has been secured, a copy of the license and raffle number will need to be provided to the University facility.
- An organization interested in holding a raffle must obtain a permit from the local governing body (i.e. the municipality and/or county) in which the organization desires to hold the raffle. Local laws and applications differ from city to city and county to county.
  - Please refer to the RSO Handbook for contact information for the local governing bodies.
- Raffle licenses shall only be issued to select nonprofit organizations that have been in continual existence of at least five (5) years.
- The proceeds from any raffle must go solely to the organization licensed to hold such a raffle
- Obligations continue after the raffle. Organizations licensed to hold a raffle must keep records and report back to the local governing body
Has your club obtained the appropriate university approvals?*

YesNo
Has your club obtained a raffle license from the appropriate governing body?*

YesNo
What is your raffle number?*
Please upload a photo of your raffle license.*

Cancelof

Additional Requests
Does your club have any other request?*

YesNo
What other needs does your club for this event?*

Agreement
By signing below, our club agrees to the following:
- To adhere to SIU, RSS, Saluki Athletics, and Competitive Sports policies and procedures.
- To maintain an accurate record of event attendees and provide this list, if needed, to appropriate campus personnel.
- To contact the Competitive Sports Office immediately to update event details and information.
Date & Time of Submission
Signature of Club Representative*

Clear
Type a question
Should be Empty:

Activity Registration Form

Activity Registration Form

Event Information

Event Staffing

Food and Vending

Raffles

Additional Requests

Agreement