Facility Reservation Form

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Email address *

First Name *

Last Name *

Cell Phone Number *

Group Information *

Name of Group/Organization *

Event Title *

Date (First Choice) *

Start Time *

End Time *

Location Preference

☐ Crisp Arena Gym ☐ VLOW Activities Room ☐ VLOW Board Room ☐ Baker Field House Gym ☐ Walter Butler Stadium ☐ Wildcat Park (Baseball) ☐ Lady Wildcat Park (Softball) ☐ Dr. Deborah Thompson Tennis Complex

Will food be served?

☐ Yes ☐ No

Is there an admission fee?

☐ Yes ☐ No

Will you require any special setup or equipment?

Note:

Table and Chair Setup- Maintenance (Randy Tanaka) Audio/Visual – IT Department (Jimmy Bomar) Email: stephensonk@bethelu.edu | Phone: 731-352-6428 Website: www.bethelathletics.com

* required field