Summer Camp Rental Space

NAME OF CAMP/PROGRAM:

FUNDED BY:

DATES OF CAMP/PROGRAM

HOURS OF OPERATION:

CAMP DIRECTOR:

E-MAIL ADDRESS:

CAMP COORDINATOR (Alternate, if applicable):

EMERGENCY CONTACT TELEPHONE NUMBER:

HOW MANY PARTICIPANTS ARE AGES 12 AND UNDER?

HOW MANY PARTICIPANTS ARE AGES 13 TO 18:

HOW MANY PARTICIPANTS ARE AGES 19 AND OLDER?

TOTAL NUMBER OF STAFF/ASSISTANTS:

HOW MANY STAFF/ASSISTANTS ARE AGES 21 OR OLDER?

NUMBER OF ROOMS REQUIRED:

PLEASE DESCRIBE THE TYPICAL ACTIVITY THAT WILL OCCUR IN THE ROOM AND/OR MATERIALS

(musical instruments, etc.) THAT WILL BE USED

ARE THERE ANY SPECIAL ROOM/LABORATORY/BUILDING SPACE REQUIREMENTS? IF YES, PLEASE EXPLAIN.:

IS THIS A SUNO SUMMER CAMP/GRANT PROGRAM?

Yes

ARE YOU A RETURNING USER?

Yes

DO YOU CHARGE A FEE? IF YES, WHAT IS THE FEE?

I UNDERSTAND THAT SUBMISSION OF THIS FORM IS NOT A GUARANTEE FOR USE OF CAMPUS FACILITIES.

Yes, I understand

A CAMPUS EVENT PLANNING FORM IS ALSO REQUIRED TO BE COMPLETED, SUBMITTED AND APPROVED FOR ALL SUMMER CAMPS HELD ON SUNO'S CAMPUS. IN ADDITION, A RENTAL USE CONTRACT/AGGREEMENT APPLICATION MUST ALSO BE COMPLETED, SIGNED AND APPROVED BY THE OFRFICE OF THE VICE CHANCELLOR FOR ADMINISTRATION AND FINANCE (504-286-5117).

ALL OF THE ABOVE FORMS AND CONTRACTS MUST BE SUBMITTED AT LEAST 30 DAYS IN ADVANCE OF CAMP START DAT

I understand

FOR ADDITIONAL INFORMATION ON SUMMER CAMPS, PLEASE CONTACT: DR. BRENDA JACKSON, SUMMER CAMP COORDINATOR BJACKSON@SUNO.EDU - (504)286-5274-ROOM 215, E.W. BASHFUL ADM. BLDG.