Palm Beach Atlantic University
Greene Complex Facility Request Form
Person Requesting Facility Space: ______________________________
Date Request Submitted: ______________________
Home Phone: ________________________ Work/Cell/Emergency Phone: ________________
Fax Number: _________________________
E-Mail Address: ___________________________
Sponsoring Organization/Department: ______________________________________________
PBA Affiliation:
___ Student
___ Faculty
___ Staff
___ Alumni
___ Greene Complex Member
___ Outside Group (please specify):
______________________________________________
______________________________________________
Title of Event and Description:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Date (s) of Event: _____________________________________________________________
Time(s) of Event: _____________________________________________________________
(Allow appropriate time for event set-up/break down)
Facility Space Needed:
____ Rubin Arena
____ Mahoney (Aux) Gym
____ Handball/Racquetball Courts.
____ Group Conditioning Room
____ Indoor Track
____ Fitness Center
____ Classrooms
____ Grass Intramural Field
____ Sand Volleyball
# of Courts _________
# of Courts _________
# of Courts _________
(up to 2)
(up to 2)
(up to 2)
# of Classrooms _________ (up to 3)
Dimensions: 70 yards long / 25 yards wide
1 Court
Please Note: This Facility Request form must be completed and submitted to the Campus Recreation
office at least 2 weeks prior to the proposed event. The Facility Committee will meet weekly to review
requests. You will receive notification within 10 working days of this completed request.