Facility Rental Form Contact Name* First Last Name of Organization* Name of Event* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Start Date of Event* MM slash DD slash YYYY End Date of Event MM slash DD slash YYYY Start Time* : Hours Minutes AM PM AM/PM End Time* : Hours Minutes AM PM AM/PM Age Range of Attendees:* Have you rented with us in the past?*YesNoIf yes, when?* MM slash DD slash YYYY Are you interested in renting our Residence Hall for overnight accommodations? (June or July events only)*YesNoIf yes, please tell us about the size and accommodations needed by your group.*Type of Event* Estimated Attendance*Estimated Ridership per Vehicle*Will admission be charged?*YesNoIf Yes, give amount Non-Profit Organization?*YesNoIf Yes, please attach non-profit 501.c. documentationMax. file size: 29 MB.Will concessions be served?*YesNoDo you need food services?*YesNoAre you interested in having The Phoenix Shop (ACU's campus coffee shop) open during your event?*YesNoIf yes, we cannot guarantee the shop will be open, but we will try our best to accommodate your needs.Will rental equipment be used for the event?*YesNoIf Yes, who is the company providing the equipment? Do you have any Audio/Video requests?*YesNoPA system, Microphone, Projector, Smart Board, TV, VCR, DVD, Computer, etc.Do you have any Facility requests?*YesNoTables, Chairs, Podium, White Board, etc.Are there any past or current security concerns with you or your organization?*YesNoIf Yes, please describe*Describe your event and list a timeline for set up to break down*Please describe any Audio / Video needs that exist for your event.Please state any additional facilities requests for your event.Please upload a diagram of your eventMax. file size: 29 MB.List where equipment, stages, booths, etc. will be set upFacilities Agreement* I have read and agree to the Policies and Procedures for ACU Facility Rental Promotional Agreement* I have read and agree to the promotional agreement below. A request to host an event or activity at the university does not guarantee the approval of the event or activity. Events are not to be promoted until the contract agreement has been signed by rental group and returned to the university. The university has the right to deny the Facility Rental request if promotion of event occurs before signed contract has been returned.How did you hear about renting ACU's facilities?*