Clark Student Center
Calendar Application/Reservation Form
Phone: (940) 397-4223

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Name:
Organization/Department:
E-mail Address:
Phone:

Title of Event:
Date of Event: mm/dd/yy
Multiple Dates of Event? (Enter Dates if Applicable):
Event Start Time: hh:mm	am  pm
Event End time: hh:mm	am  pm
Setup Start time: hh:mm	am  pm
Setup End time: hh:mm	am  pm

Anticipated Attendance:
Location, Facility, or Room Requested:
Type of Event:	(Choose Event Type)  Bake Sale Booth Space Breakfast Class Conference Continuing Education Dinner Lunch Meeting Performance Reception Rush Seminar Social Speaker Testing Workshop (Other)
Other Type of Event:

This event is open to which of the following?	Members Only Members & Guests All University All Public
Amount of Admission Charge:

Will Refreshments Be Served?	Yes  No
You must contact Aramark regarding food!
Has Aramark Been Contacted?	Yes  No
Will Alcohol Be Allowed or Served?	Yes  No
If alcohol is allowed or served, the reservation form must be filled out in person in the Student Center Office
May This Event Be Advertised in University Publications?	Yes  No

You have reserved an empty room. Please specify set-up and equipment needs in the space provided below.




If you do not get a confirmation form or a phone call from the Student Center within three days after submitting this reservation, please call ext. 4223 and check on the status of your reservation.


The Clark Student Center reserves the right to change room assignments or setups to accommodate the greatest number of customers.