Webb Center Reservation Request

Requestor's Name

Organization/Dept

Contact Phone

E-mail

Co-Sponsor (if any)

Date of Event

Alternate Date

Event Name

Description of Event

Start Time

End Time

Time Needed for Set Up

Estimated Attendance

Room Requested (First Choice)Board of Visitors Cape Charles Chesapeake Hampton Isle of Wight James River Lynnhaven River Newport News North Cafeteria North Mall Portsmouth Potomac River Rabbi Reich Rectors Retro Richmond Smithfield South Cafeteria South Mall Virginia Beach Virginia Rice Webb Williamsburg York River Other

Room Requested (Second Choice)Board of Visitors Cape Charles Chesapeake Hampton Isle of Wight James River Lynnhaven River Newport News North Cafeteria North Mall Portsmouth Potomac River Rabbi Reich Rectors Retro Richmond Smithfield South Cafeteria South Mall Virginia Beach Virginia Rice Webb Williamsburg York River Other

If "Other" was selected, please specify.

Type of EventMeeting Lecture Performance Dance Concert Workshop Dinner Luncheon Breakfast Reception Fundraiser/Sales Information Table Other

If "Other" was selected, please specify.

Room SetupBanquet (Round Tables) Square Auditorium U-Shape Classroom Conference Will Provide Diagram

If a Head Table is needed - for how many?

Number of Staging Sections Needed

Other Equipment Needed

If yes, what type of food?

I certify that I am familiar with the policies and procedures as listed at http://studentaffairs.odu.edu/osal/eventmanage/policiesprocedures.shtml for use of university facilities, that this event is consistent with the policies and procedures, that I accept the responsibility for compliance with same, and that my organization/department is responsible for any damages incurred in the facility at the time of the event.

NOTE: The entire form must be completed (use estimates as needed). This form is only a request, not a confirmation. All requests require a minimum of 5 days to process. Please print this page for your records prior to clicking submit!