Equipment Reservation Form

Organization Name:

Date: Submitted by:

 

Event Details

Contact Person: Phone Number:

Event Name:

Event Date:

 

Equipment to be reserved

2 large speakers Karaoke records
Mixer (very expensive-take extra care!) CD/Karaoke player
Blue box with all cords (for mic, etc.) 2 large halogen lights
3 microphones 3 microphone stands
Volleyball net Volleyball
3 frisbees Basketballs
Softball equipment (limited items)  

Statement of Responsibility

I agree to take full responsibility for the above mentioned equipment which includes immediate return following the event. I am also aware that I am responsible for any damage that may occur during said event.  All equipment must returned immediately after usage to the Student Activities/Reslife office.  Users are expected to call security(x4444) to receive access to the office to return the equipment and then lock the door afterward.
I agree (must check yes to receive equipment)