Alumni Center Rental Request Form

Please complete this reservation form and submit at least one month prior to the date of the event.

Contact Person*:

Phone Number (including area code)*:

Cell Phone Number (including area code):

Email Address*:

Billing Address*:

Sponsoring Individual, Organization or Department*:

Check all the following boxes that apply (At least one box must be checked)*:

	I am a dues-paying member of the UConn Alumni Association Membership Number:		This request is for a UConn Staff/Faculty event
	This request is for a UConn student organization event		This request is for a Nathan Hale event
	This Request is for another group and/or individuals not listed above

Event Name:

Brief Event Description:

Day(s) & Date(s) Rental Requested*:

Contact Person at Event to Greet & Direct Guests:
(A contact person must be present at all times)

Name of room that is being requested Check all that apply:(At least one box must be checked)*:

Great Hall	FIP Conference Room
Sports Museum	Alumni President's Room
Alumni Lounge	Board Room
Wolfson Hall of Excellence	Husky Plaza
	Entire Alumni Center

Set-up style:

Table & Chair Requests for Room Set-up:
# of chairs ; # of 5' round tables ; # of 6’ round tables

Equipment Needed (At least one box must be checked):
(You must make your own arrangements for any equipment not listed above. After set up the renter will have responsibility of running and maintaining the equipment throughout the duration of their event.)

None Needed	Podium
Screen	LCD Projector
Piano	IBM Laptop
Television	Overhead Projector
Flipchart	VCR/DVD Player

Will you have entertainment? Yes No
(If yes, please be aware that we do not have a dance floor; you will have to rent one separately.)

If answered yes, indicate type of entertainment (DJ, Band, etc.) :

Number of event attendees*:

Will you need parking passes for the Alumni Center lot? Yes No

If applicable, number of parking passes needed:
(Note: A maximum of 20 passes can be requested , additional parking is available in the North Parking Garage.)

Will a caterer be used?*: Yes No

Indicate the name of your caterer:

If you selected "Other" please indicate the caterer name here:

Will alcohol be served*: Yes No
(If yes, a liquor permit is required)

Party responsible for serving alcohol:

Catering Set-up: None Buffet Stations Served

Contact person and/or caterer will arrive for set-up at

Event begins officially at

and will end at approximately *

Cleanup and breakdown will be completed by:

Special Instructions:

For University sponsored events, will security be required? Yes No

How did you hear about us:

I have read and understand the policies and guidelines set by the Alumni Association for rental of the Alumni House as provided in the Centennial Alumni House Brochure. I understand that any violation of these said policies and guidelines will be the responsibility of my department/organization and will result in reparation if necessary.

* indicates required fields for successful completion of form.

I agree to these policies and guidelines
I do not agree to these policies and guidelines

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