Intramural Facility Request Form

Department Human Performance, Dance & Recreation New Mexico State University FACILITY REQUEST FORM Facilities Administered by the Department
Activity center	Quads 1, 2, 3, 4 Classrooms - 201, 226 Dance Area - 229 Weight Room - 131	Multipurpose Area - 228 Combative Room - 124 Racquetball Courts 1, 2, 3, 4 Rentfrow Gymnasium/Classroom
P.E. Fields -	Upper Fields (Football: 1-8, Softball: 1-6), Lower Field (By Tennis courts), Mid-Fields (Soccer 1, 2, and 3)
CONTACT PERSON: Silvia Green
(SUBMISSION OF A REQUEST DOES NOT GAURANTEE REQUEST APPROVAL. DO NOT ADVERTISE EVENT UNTIL YOU RECEIVE WRITTEN FINAL APPROVAL WHICH IS BASED UPON YOUR COMPLETION OF THE REQUIREMENTS BELOW)

Date Requested:
Beginning Date		End Date	Time

Organization Representative		Phone
Email Address:
Organization Name		Phone

Event Information: (check all that apply)
1. Participants	University Students/Staff Non-University Children (17 and under)	Number Expected Number Expected Number Expected
2. Type of Activity	Athletics Regular Club/Organization Meeting Intructional Special Event Tournament with Entry Fee Fee	Amount Amount
3. Type of activity to be run in requested area- 4. Will food/drink be served? Yes No 5. Will Items be available for sale? Yes No Comments:

Event Information: (check all that apply)

1. Participants

University Students/Staff
Non-University
Children (17 and under)

Number Expected
Number Expected
Number Expected

2. Type of Activity

Athletics
Regular Club/Organization Meeting
Intructional
Special Event
Tournament with Entry Fee
Fee

Amount
Amount

3. Type of activity to be run in requested area-

4. Will food/drink be served? Yes No

5. Will Items be available for sale? Yes No

Comments:

Department Human Performance, Dance & Recreation