Prescott Campus Facility Rental Request

1. Organization and contact

Company or organization name *Requestor full name *Phone number *Email address *Street address *City *State *ZIP code *

Are you a government agency? *

2. Event details

Name of event *Estimated attendance *Date of event *Additional dates neededEvent start time *Event end time *Set-up time needed *Take-down time needed *

Description of event *

3. Space requested

Select all spaces you would like considered.

Large Classroom 3-119 — maximum 108 seats — $68.00 per hourClassroom 4-114 — maximum 24 seats — $35.00 per hourGymnasium — $75.00 per hourRoughrider Baseball Field — $50.00 per hourSoccer Field — $50.00 per hour

4. Technology and comments

Select all that apply.

Additional comments or setup needs