Facility Rental Form

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This facility request form is solely a request for space and does NOT guarantee that the dates and times request are approved or reserved. A professional staff member from the Department of Recreation will contact you to further discuss the request. Forms must be turned in at least one week prior to the request date to be reviewed for approval.
Today's Date: Name:
Phone: Email:
Group Requesting:
Are you affiliated with the University of Pennsylvania? Yes No
If YES, what is your affiliation?
Date(s) you are requesting:
Times requested: AM PM AM PM
  Start Time (incl. set up) End Time (incl. take-down)
Expected number of participants/spectators/attendees:
Brief description of the event:
Space requested:
Hutchinson Gymnasium
Crew Tanks Basketball Courts  
Lower Mat Area Ringe Squash Courts  
Pottruck Center
Basketball Courts Golf Simulator Classroom
Climbing Wall Dance Studio Sheerr Pool (Deep End)
Sheerr Pool (Shallow End)