Viterbo University’s website and many of our communication systems such as email and telephone services will be unavailable for parts of Saturday, July 26. In case of emergencies please email viterbohelpdesk@gmail.com

 

 Mathy Center Lease Request Form

The intent of this form is for facility usage requests with the exception of conference room reservations. To reserve a conference room, contact scheduling@viterbo.edu.

 

 

Application Date:    [None] Select a Date Delete the Date  

 

Basic Information:

Sponsoring Department / Organization: 

Contact:   Phone: 

Email:   Address: 

 

Event Information:

Activity / Event Name:           Type of Function:  

Estimated Attendance: 

Is this a one-time or recurring event?
(Example: A sports league is a recurring event if it occurs on multiple dates)

    

 

Start Date:   [None] Select a Date Delete the Date             End Date:   [None] Select a Date Delete the Date  

Start Time:                                 End Time: 

Set up Time:                              Teardown/Clean Up Time: 

 

Room Requests: (Indicate all that apply)

Click here for a map of the facility.

    

 

Additional Event Information:
(Use this space for recurring event dates and alternate date or location options for the event)
 

 

Event Requirements:

         (Quantity:  )         (Quantity:  )

Extra                 

     

Other Needs:   

University Departments / Groups Large Event Set up and Teardown:

    

If there are any questions, feel free to contact the Amie L. Mathy Center at mathycenter@viterbo.edu or 796-3120