Today's Date:

FACILITY INFORMATION

Facility Requesting
Aquatic Center Competition Pool
Aquatic Center Diving Well
Crawford (Leisure) Pool

Organization requesting:

Purpose for Request:

Participants
Students
Faculty/Staff
Alumni
External Group

Other(Specify):

Total Attending:

Will an entry fee be charged to participate?
Yes
No

If yes, how much?:

CONTACT INFORMATION

Contact Person:

Department/Address:

Phone:

Fax::

Mail Code:

City:

State:

Zip Code:

Email:

RESERVATION INFORMATION

Date(s) of Event	Day(s) of the Week	Start Time	End Time	Space Requested - be specific,# of lanes, shallow/deep, gyms, etc.

Remarks, Special Requests or Equipment needs:

After submitting information, you will be contacted about your request.