Facility Request

*required information

*Sponsoring Organization:

*Organizational Type:
General Public (Non-URI) Recognized URI Student Group URI Students w/NO Group Affiliation URI Department/Academic URI Faculty/Staff/Admin

*Name:

*Address:

*City:

*State:

*Zip:

*DaytimePhone:

*Evening Phone:

*Cell Phone:

Fax:

*Email:

*Event Title:

Choice #1

Facility Requested:
Keaney Gym MackalBasketball Courts Mackal Indoor Track Tootell East Gym Tootell West Gym Tootell Dance Studio Pool Complex Recreational Fields

Date(s):

Event Start Time (Please note AM or PM):

Event Stop Time (Please note AM or PM):

Choice #2 (if applicable)

Facility Requested:
Keaney Gym MackalBasketball Courts Mackal Indoor Track Tootell East Gym Tootell West Gym Tootell Dance Studio Pool Complex Recreational Fields

Date(s):

Event Start Time (Please note AM or PM):

Event Stop Time (Please note AM or PM):

Choice #3 (if applicable)

Facility Requested:
Keaney Gym MackalBasketball Courts Mackal Indoor Track Tootell East Gym Tootell West Gym Tootell Dance Studio Pool Complex Recreational Fields

Date(s):

Event Start Time (Please note AM or PM):

Event Stop Time (Please note AM or PM):

*Anticipated Attendance:

Description of Event:
(Additional Requirements/Comments/Set-up needs)

Will food and beverages be served?
The University has an exclusive beverage contract with the Pepsi Company that must be followed by any group serving beverages during their event.
YES
NO

Equipment Checklist:

Other Equipment: (Examples: Volleyball Nets, Badminton, Soccer Ball, Basketball)

Additional Equipment Requests:
Please call URI PROPERTY AT 874-5468 to reserve the equipment below: