Tent Request

Today’s Date

Name of Organization/Department

Occasion for tent use

Time of tent use

Date of tent use

Date of tent set-up Tent breakdown

NOTICE: For safety reasons, the tent will not be set-up if winds are over 15 MPH.

Location-

Circle one: Red Barn Mall

Tennis Court Rugby Field University Farm

Contact person Phone #

I hereby agree to assume responsibility for any damages incurred to the tent during the time of its use.

Signature Date

For office use only:

Please indicate any damages noted:

Date received: Copies made: