Club and Organization Special Event Registration Form
Name of the Organization*
Name of Person Completing this form*
Phone Number of Person Completing this form*

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Name of Event*
Date(s) of Event*
Time(s) of Event*
Location of Event*
Description of Event (i.e. purpose, who is
invited, what will take place, etc.)*
Have you reserved a location for this event?*
Yes
No
Have you contacted maintenance for any set-up
needs you may have (i.e. tables, chairs, trash
cans, etc.)?*
Yes
No, we do not need anything.
No, I have not done this yet.
Will you be serving food at this event?*
Yes
No
If you will be serving food, who is providing the
food/catering the event?
Please list the name(s) of faculty or staff
member(s) who will be in attendance at this event
in an advisory role.*
All off-campus trips and activities require all
participants to complete a trip waiver. These
waivers can be obtained from the Office of Student
Activities. Have you obtained waivers?*
Yes
No, I need to obtain waivers.
No, my event is on campus and does not require waivers.
Would you like this event included on the Stall
Street Journal (if space allows)?*
Yes
No
Would you like this event included in Connecting?*
Yes
No
Would you like a table tent for this event placed
in the cafeteria (if time and space allow?)*
Yes
No
If you answer yes, you must provide the Office of
Student Activities with an electronic copy of your
event flyer.
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