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)

Room Requested (Second Choice)

If "Other" was selected, please specify.

Type of Event

If "Other" was selected, please specify.

Room Setup

Will you have amplified sound?

Yes

Are you charging admission?

Yes

Equipment (A/V) Needs: Please submit the Webb Center Media Request Form (http://www.odu.edu/forms_admin/viewform.php?formid=5877). This form must be submitted two weeks prior to the event date. Requests submitted less than two weeks may be denied pending equipment and staff availability.

If a Head Table is needed - for how many?

Number of Staging Sections Needed

Other Equipment Needed

Will alcohol be served?

Yes

Will food be served?

Yes

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!