Home Event Plan - Facility and Equipment
Form required to be completed prior to hosting an event. Form also used to request UW Recreation Facility spaces and equipment. Deadline to submit is 2 weeks prior to the event.
Club:
*
Aikido
Archery
Badminton
Baseball
Boxing
Brazilian Jiu Jitsu
Climbing Team
Cycling
Equestrian
Ice Hockey, Men's
Ice Hockey, Women's
Judo
Karate (Shotokan)
Kendo
Kung Fu/Tai Chi
Lacrosse, Men's
Lacrosse, Women's
Roundnet
Rowing (UBRC)
Rugby, Men's
Rugby, Women's
Running
Sailing
Ski
Soccer, Men's
Soccer, Women's
Table Tennis
Tae Kwon Do
Tennis
Triathlon
Ultimate, Men's
Ultimate, Women's
Volleyball, Men's
Volleyball, Women's
Water Polo, Men's
Water Polo, Women's
Wrestling
Wushu
Name of requesting officer:
*
First Name
Last Name
Email
*
example@example.com
Type of Activity:
*
Competition
Game
Tournament
Scrimmage
Race
Fundraiser
Meeting
Marketing/Promotion Table
Training
Other
Date(s)
*
Example: Sat. Nov. 20 & Sun. Nov. 21
Event hosted off-site at non-UW Rec Facility or are you requesting UW Rec Facilities?
*
Hosted off-site (Non UW Rec Facility)
Requesting UW Rec Facilities
Both
Location/Address of off-site facility
*
Start and end time of event (include set up and take down time).
*
Example: 11/20 & 11/21 - 8:45am - 6pm
What UW Rec facility are you requesting? Select all that apply.
*
IMA Archery Room
IMA Cycling Studio
IMA Gym B
IMA Gym C
IMA Gym D
IMA Pariseau Gym
IMA Entrance - Outdoor Plaza
IMA Entrance - Front Lawn
IMA Meeting Room 246
IMA Lounge/Kitchen
IMA Mat Room A
IMA Mat Room B
IMA Studio 111
IMA Studio 216
IMA Studio 316
IMA Int'l Squash Courts
IMA Pool
Pavilion Pool
IMA South Tennis Courts
IMA Field #1 - Turf (next to IMA)
IMA Field #3 - Turf (across from Safeway)
IMA Field #4 - Grass (next to #3)
ICA East Stadium Field
ICA Dempsey Indoor
ICA Nordstrom Tennis Ctr
ICA Running Track
Waterfront Activities Center
Start and end time of facility request (include set up and take down time). Please specify the time for each facility location you are requesting.
*
Example: 11/20 & 11/21 - IMA Turf Field #1 - 8:45am - 6pm, IMA Turf Field #3 9:30-5pm, etc.
For competitions, tournaments, games, scrimmages, and fundraisers, list other school(s) and/or persons involved:
*
Back
Next
Equipment
Please list club equipment used for this event.
*
Example: personal lacrosse equipment, lacrosse balls, lacrosse goals
Would your club like to request UW Recreation equipment?
*
Yes
No
UW Recreation equipment available for checkout. Select all that apply.
*
Table
Chairs
Large TV Screen with HDMI Cord (Meeting Room 246 or IMA Lounge only)
How many of each item? Please list.
*
Example: 1 table and 2 chairs
Equipment pick up date:
*
-
Month
-
Day
Year
Date
Pick up time:
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Equipment return date:
*
-
Month
-
Day
Year
Date
Return time:
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event Budget
Revenue: please provide an itemized list of projected revenue for the event.
*
Expenses: please provide an itemized list of projected expenses for the event. Indicate items that can be purchased pre-event or post event via reimbursement.
*
Submit
Should be Empty: