Organization
Legal name of organization
*
Organization's mailing address
*
Primary contact person
*
Primary contact person cell phone
*
Primary contact person email address
*
Maryland tax exemption status
Yes (must provide proof)
No
Program Information
Type of event
*
Athletic event
Meeting/conference
Private social event
Residential camp
Stage performance
Other
Other
Additional detail about event
Event date
*
Event start time
*
12
1
2
3
4
5
6
7
8
9
10
11
:
00
15
30
45
AM
PM
Event end time
*
12
1
2
3
4
5
6
7
8
9
10
11
:
00
15
30
45
AM
PM
If this is a recurring event or program, please specify the end date
Total number of participants
Facilities Request
*Actual capacities will vary dependent upon the specific room set-up
Check the Facilities You Are Interested In:
Alumnae/i House Buchner Hall (capacity 70)
Alumnae/i Scheeler Board Room (capacity 12)
Athenaeum Batza Room (capacity 65)
Athenaeum Hyman Forum (capacity varies based upon event requirements)
Aquatic Center (capacity 75)
Beldon Turf Field
Beldon Turf Field Lights
Classroom Space (capacity 1-40)
Gopher Stadium
Gopher Stadium Press Box/Scoreboard
Gopher Stadium Track
Grass Practice Field (3 available)
Haebler Memorial Chapel
Kelley Lecture Hall (capacity 144)
Kraushaar Auditorium (capacity 962)
Merrick Lecture Hall (capacity 223)
Rosenberg Gallery (capacity varies based upon event requirements)
SRC Decker Arena
SRC Room 209 (capacity 35)
SRC Lilian Welsh Gym
SRC Multipurpose Room (capacity 100)
SRC Varisty Room (capacity 40)
Tennis Court
Other campus space
Other campus space
Parking spaces needed
Indicate estimated number
Housing Request
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Available late-May through July 31
Single rooms
Enter number of single rooms
Double rooms
Enter number of double rooms
Arrival date
Departure date
Dining/Catering Requests
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Date of first meal
Indicate first meal
Breakfast
Lunch
Dinner
Date of last meal
Indicate last meal
Breakfast
Lunch
Dinner
Prefer a dedicated, catered meal
Yes
No
Note: The Organization agrees to use Goucher College’s on-campus food service provider (Bon Appetit) as the exclusive food service provider for the duration of the Program.
Additional Equipment/Service Request
Please describe any audio visual, sound, lighting, and/or other equipment and/or service your Program will require. Include the type(s) of equipment and the date(s) and time(s) each item will be needed.
Special Accommodations
Please describe any special accommodations your Organization may require, such as first floor residential accommodations, dietary restrictions, accessibility concerns, etc.
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