Facility Rental Request Form Facility Rental Request Form Two-week advanced notice is required to reserve space for all University-affiliated groups. Four-week advanced notice is required to reserve space for any external group to the University. The advanced notice is required to process paperwork and acquire the necessary approvals. Any request not providing the required advanced notice will only be considered if time permits. External groups to the University will be required to obtain and submit a Certificate of Liability demonstrating liability coverage that indemnifies Campus Recreation, The University of Illinois at Chicago and The Board of Regents of the University of Illinois from liability for injuries and damages for the specific event. Questions can be emailed to: Jessica Adkisson *All Questions Requires Response Date of Request:Please enter up to three dates or date ranges ranking with the most preferred date or range in the first box, Choice A.Choice A [Most Preferred Date(s)]: - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY Choice B: - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Choice C: - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY Event Activity * RequiredSelectClimbing Wall PartyPool PartyF45OtherTime rangePlease include time for setup and tear-down.Climbing Wall Time rangePlease note: Climbing Wall rentals are not available during open climb hours.Pool Party TimeFriday 5pm-8pmSaturday 2pm-5pmSunday 4pm-7pmPlease select one of the following standard times for your pool party request. Facilities RequestedSports &Fitness Center (828 S Wolcott) Fitness Room Multipurpose Room Basketball Courts Racquetball Courts Pool Student Recreation Facility (737 S Halsted) MAC Gym Meeting Room Multi-Purpose Room Basketball Court C Basketball Court D Raqcuetball Court 2 Raqcuetball Court 3 Raqcuetball Court 4 Raqcuetball Court 5 Pool Lobby Second Floor Lounge Running Track (non-exclusive use) Climbing Wall Are you interested in adding a Party Room for an additional $125.00?YesNoA party room may be available for food or additional activities. This rate is for three hour use of a party room in addition to the Climbing Wall or Pool. Outdoor RecreationOutdoor Fields Complex (900 W 14th Place) East Field West Field OrganizationAffiliation * RequiredSelectStudentFaculty/StaffMemberCommunityUIN or Campus Recreation Member Number * RequiredName * RequiredFull business/organization name or full individual name (if not reserving on behalf of a business/organization)Organization Type: * RequiredSelectUIC Student OrganizationUIC DepartmentIndividualCorporationGovernment Entity - FederalGovernment - LocalGovernment Entity - StateLimited Liability CompanyNot for Profit CorporationPartnershipSole ProprietorshipRepresentative/ Primary Contact * RequiredContact Person's Title: * RequiredContact Phone * RequiredContact Email * Required UIC Department/Office: * Required Mailing AddressPlease use Campus address if applicable.Street * RequiredCity * RequiredState * RequiredZip * Required EventEvent Name * RequiredEvent Description: * RequiredThis event is:SelectFor UIC Students OnlyOpen to everyoneFor your Organization onlyExpected number of participants? * RequiredExpected number of spectators? * RequiredExpected number of UIC members? * RequiredExpected number of Non-members? * RequiredPlease select your group size. * Required15 or less attendees16-30 attendees31-50 attendeesYour rate and the number of staff scheduled is dependent on an accurate estimate of your group size. We may not be able to accommodate changes within four days resulting in cancellation of your event.Please select your group size. * Required15 or less attendees16-30 attendeesYour rate and the number of staff scheduled is dependent on an accurate estimate of your group size. We may not be able to accommodate changes within four days resulting in cancellation of your event.Are minors involved? * RequiredSelectYesNoWill there be any food or drink served? * RequiredSelectYesNoPlease provide details on what will be served: * RequiredWill there be any videography or photography? * RequiredSelectYesNoPlease note: Videography and photography is not allowed in Campus Recreation facilities. Permission may be granted with parameters and additional fees. MiscellaneousSports Equipment Badminton set (shuttlecocks not included) Basketball Cricket Set (cricket balls not inluded) Futsal or Soccer ball Pickleball set (pickleballs not included) Racquetball rackets (racquetballs not included) Softball set Volleyball set Walleyball set Other (Please list below) Please select all applicable. There may be fees for use of equipment.Non-sport Equipment Chairs Laptop Computer Portable bluetooth speaker with microphone Projector and screen Tables Other (Please list below) Please select all applicable. There may be fees for use of equipment.Additional Equipment and Setup NeedsPlease list numbers of table/chairs/etc. as well as equipment not listed above and your ideal setup.Special NotesPlease list any additional details to describe the scope of your event request.