Special
Events Form
Conference Services
TCU Box 298310
Fort Worth, TX 76129
Texas
Christian University (817)
257-7641 Fax: (817)
257-5699
Event Title:_ _ Application
Date: _
Purpose of Event: ___________________________________________________
Describe Event Activity: ______________________________________
Organization/Sponsoring Group:
_______________________________________________
Address:_____________________ _____________________________________
Street
No. City
/ State / Zip
Person in Charge: _____________________ Phone: _______________
Number of
Program Participants: ___ Spectators:
____ Fax: _______________
Average Age
of Participants: ____________ E-mail: ____
Facilities and Equipment (Please use a separate sheet if you need more space.)
________Time Requested_______
Date Set-Up Program Clearing Type of Facility Equipment /Set-Up Capacity_
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Food Service
Enter code for each meal required: B – Banquet CC – Cash
Cafeteria SC – Special Catered
(i.e. picnic, box meal)
Date Breakfast Lunch Dinner No.
of People
______________________________________________________________________________________________________
Housekeeping________________________________________________________________________________________
Housekeeping is required to clean facilities after your
use. In some cases, housekeeping may be
required to prepare a
facility before your arrival. Unless requested, housekeeping is not provided during your
event for continuous clean-up
and maintenance. Do you require housekeeping support on-site during your
event? __ Yes __ No
Publicity________________________________________________________________________________________________
If your event is open to the
public, please list how registration and/or ticket sales are to be handled.
Please include contact
information and ticket prices. _______________________
______________________________________________________
NOTE: Before it is released to media, you must
submit for review any publicity that uses Texas Christian University’s name.
TCU is
an equal opportunity institution and subscribes to all requirements of federal
law which prohibit discrimination in any respect to students, employees,
applicants, or university programs on the basis of sex, race, color, natural
origin, age, religion, handicap or veteran status. The Applicant will be expected to provide a certificate of
insurance reflecting Texas Christian University as an additionally Named insured under the policy. Limits should provide not less than $100,000
property damage and $500,000 for personal injury per occurrence (with
$1,000,000 umbrella coverage).
In the event this application is approved, TCU will submit
to the Applicant TCU’s standard form of facilities agreement. Any rights of the Applicant to use of TCU
facilities shall arise only upon acceptance of such agreement as evidenced by its
signature on behalf of TCU, and upon compliance by Applicant with all terms and
conditions of the Agreement.
NAME OF AUTHORIZED REPRESENTATIVE: BILLING ADDRESS:
__________________
Please print or type Street
Address
Signature __ City / State / Zip
Date Signed _____