Hendrix Summer Request Form

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Submission of this form notifies the Summer Programs Office of a potential summer event in order to coordinate usage of campus space and requests approval to reserve campus space on the Master Calendar. This form does NOT reserve space on campus. A notification will be sent indicating if the request was approved or not and who to contact as your event coordinator.

You may be contacted and asked for additional information if potential scheduling conflicts or questions arise. If the event is cancelled or details change, please email summerprograms@hendrix.edu to notify us.

Name of event/group/program/camp *

Primary contact name *

Primary contact email address *

Primary contact phone number *

Secondary contact name

Secondary contact email address

Secondary contact phone number

Has this event/group/program/camp been hosted at Hendrix in the past? *

Yes

Proposed start date *

YYYY

Proposed end date *

YYYY

Time/s of day *

Proposed location/s *

Include location/s for activities, classes, meetings, etc. There is a separate space to list a proposed residence hall for overnight groups.

Participant check in date, time, and location *

Staff setup/orientation date/s and time/s

Estimated # of participants *

Estimated # of staff *

Age/grade of participants *

Gender of participants *

Female

Male

Co-ed

Campus housing *

Yes

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