Mathy Center Lease Request Form

 

Application Date:    [None]    

 

Basic Information:

Sponsoring Department / Organization:  

Contact:   Phone:  

Email:   Address:  

 

Event Information:

Activity / Event Name:           Type of Function:  Select One Athletic Camp Athletic Practice Camp Catered Event Ceremony Class - University Conference Dinner Meeting Performance Fair/Festival Reception Set-Up Sports Club Practice Tournament Other  

Estimated Attendance:  

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

1. One-Time Event
2. Recurring Event

 

Start Date:   [None]               End Date:   [None]    

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.

1. Conference Room 1
2. Conference Room 2
3. First Aid Room
4. Gymnasium Court #1
5. Gymnasium Court #2
6. Gymnasium Court #3
7. Multipurpose Room
8. Men's Locker Room
9. Women's Locker Room
10. Track

 

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

 

Event Requirements:

Floor Tarp       Tables  (Quantity:  )       Chairs  (Quantity:  )

Extra Garbage bins    Scoreboards     MPR Sound System    Gym Sound System   Staging 

Volleyball Standards & Nets   Basketball Hoops   Gym Curtains Down 

Other Needs:   

University Departments / Groups Large Event Set up and Teardown: 

1. We will contact Physical Plant with set up and teardown requests.
2. We would like Mathy Center to contact Physical Plant with set up and teardown requests.

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