Sports Club Event Request – Games, Events, Fundraisers, Meetings, Etc.
Today’s Date: _________________
Return to Sports Club Coordinator
ALL REQUESTS MUST BE SUBMITTED AT LEAST 4 WEEKS IN ADVANCE
Completion of this form does not constitute confirmation of a reservation. The information you provide on this form will help
us to customize your request, depending on the space available.
CONTACT INFORMATION
Club:
Contact Person:
Email:
Phone (H)
(C)
EVENT INFORMATION
 Event
 Game
 Fundraiser
Description:___
Estimated Attendance:
Will the event require a tour of the facility?
 Yes  No
Will there be food or beverages served?
 Yes  No
Will the event require electrical outlets/power cords?
 Yes  No
Staff Needed:
ATC
SMART
Supervisor
Other (list all)
Day(s) of Event:  Monday
 Tuesday
 Wednesday
 Thursday
If Yes, will outlets be used? Yes No
 Friday
 Saturday
 Sunday
Date(s) of Event:_______________________________________________________________________________
Set Up Time:____________ AM  PM
Start Time:________ AM  PM
Tear Down Time:________  AM  PM
End Time: ________ AM  PM
* The staff reserves the right to re-assign space when necessary and to identify suitable alternative space for the original reservation. Recreational Sports
reserves the right to re-assign or cancel any request for space due to unforeseen circumstances.
SPACE AVAILABLE
Fees may vary based on group size, usage, affiliation with UMaine,etc.
Student Recreation Center
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Conference Room
Court 1
Court 2
Court 3
Fitness Area A
Fitness Area B
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Fitness Area C
Leisure Pool
MAC Court
Racq/Sq B
Racq/Sq C
Studio A
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Studio B
Studio C
Track
Other
Outdoor Programs & Facilities
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MaineBound Climbing Wall
MaineBound Basement
MaineBound Recreation Area
Challenge Course
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Lengyel Game Field
Lengyel Field B
Lengyel Field C
Alfond
Mahaney Field
Riverside Recreation Area
Dome
University Park Field
Turf
Lengyel Gym
EQUIPMENT REQUEST
Fees may vary based on group size, usage, affiliation with UMaine, etc.
BADMINTON
Badminton Racquets
Badminton Nets
Shuttlecocks
Quantity
______
______
______
BASKETBALL
Basketballs (Women’s) ______
Basketballs (Men’s)
______
DODGE BALL
Dodge Balls
FLOOR HOCKEY
Floor Hockey Goals
Floor Hockey Balls
Floor Hockey Sticks
FOOTBALL
Footballs (size:reg/jun)
Jersey’s w/out numbers
Jersey’s w/numbers
Flag Belts
SOFTBALL
Softballs
Quantity
______
TENNIS
Tennis Balls/Racquets
Tennis Nets
______
______
VOLLEYBALL
Volleyballs
Volleyball Nets
______
______
WALLYBALL
Wally Balls
Wally Ball Nets
______
______
WATER POLO
Water Polo Balls
Water Polo Goals
______
______
MISC. WATER ACTIVITIES
Water Basketball
Water Volleyball
______
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Misc. Equipment:
MISC.
Inner tubes
Joust
Karaoke
Sumo
Table Tennis
______
______
______
______
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SOCCER
Soccer Balls
Soccer Nets
______
______
Chairs
LCD Projector
LCD Projector (Portable)
Podium
Portable PA
Scoreboards
Stage
Sound System
Tables (Round)
Tables (Rectangle)
TV/VCR/DVD Player
______
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Statement of Responsibility & Declination of Risk
University Of Maine, its Trustees, and its employees, are not responsible for the actions or omission of user groups utilizing UMO
recreational facilities. Accidents, injuries, loss of property, damages to facility or other losses will be the responsibility of the user
group requesting the use of the facilities. In addition, user groups are responsible for providing on-site supervision and notification of
cancellation. Failure to provide notifications of cancellation will result in the user group being charged for expenses incurred by
Campus Recreation, if any.
I agree to the above terms and conditions. I also understand that this is only a request for reservation and will be contacted by the
Assistant Director- Facility Management.
Officer’s Signature:____________________________________________________________Date:
The undersigned, hereby makes request for permission to use Campus Recreation Facilities and Equipment as noted on this form on the date(s) specified for the purpose(s) indicated.
For Department Use Only
_____Approved (initial)
Date(s)
Facility Assigned
______ Denied (initial)
Time (Start-Finish)
Rate/Hr.
# of hours
Total
1
2
Sub Total:__________
Quantity
Staff Requirement or Equipment
Rate/Hr.
# of hours
Total
1
2
3
Sub Total:__________
EST. TOTAL:________