BD- A&R Temporary Use of Space Form

www.yorkulions.ca

Organization / University Affiliation
Official Organization / Club / Department Name
Name of Signing Authority Name of Signing Authority First Last
Email of Signing Officer
Address of Signing Officer Address of Signing Officer
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number of Signing Officer Phone Number of Signing Officer - ### - ### ####
Extension of Signing Officer
Maximum of 5 characters allowed. Currently Entered: 0 characters.
Primary Contact for the Booking Request Primary Contact for the Booking Request First Last
Email of Primary Contact for the Booking Request
Event Type

For Academic Selections, please ensure the full course name and code are provided in the space below.
Please specify type of activity e.g. Dance Practice, Futsal Tournament, etc.
Course Name & Course Code:
Days of the Week

Days of the Week Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Event Start Date Event Start Date / DD / MM YYYY

Preferred Start Date
Event End Date Event End Date / DD / MM YYYY
Exclusion Date(s)

If there are no exclusion / exception dates, please indicate "none"
Event Start Time Event Start Time : HH MM AM/PM

Times must be on the 30 minute or hour time marker. NOTE: This does not include set up time
Event End Time Event End Time : HH MM AM/PM

Time must be on the 30 minute or hour time marker. NOTE: This does not include strike time.
Set Up Prior to Event (if applicable) Set Up Prior to Event (if applicable) : HH MM AM/PM

Please complete this section only if you are running a special event. This section is NOT to be completed for standard routine bookings such as weekly practices.
Strike Following Event (if applicable) Strike Following Event (if applicable) : HH MM AM/PM

Please complete this section only if you are running a special event. This section is NOT to be completed for standard routine bookings such as weekly practices.
Indoor Venue(s) Requested

Indoor Venue(s) Requested Not Applicable 316 318 Fieldhouse (East) Fieldhouse (Full) Fieldhouse (West) Main Gym Pool (All Lanes) Table Tennis Squash Court(s) Studio 1 Studio 2 Studio 4 Studio 6 Team Room #2 Team Room #3 Upper Gym (East) Upper Gym (West Upper Gym (Full) Other Other

Venues may not be suitable for all activities
Outdoor Venue(s) Requested

Outdoor Venue(s) Requested Football Field Passy Field(s) Rugby Field South Utility Field Tait Tennis Courts Alumni Stadium York Lions Stadium (YLS) York Lions Stadium Dome (Winter)

Grass fields can accommodate various sports
Number of Courts Preferred
Number of Fields Preferred (York Lions Stadium Only)

Number of Fields Preferred (York Lions Stadium Only) 1/4 Field 1/2 Field 3/4 Field Full Field

Number of preferred fields is only applicable to those who are looking to rent York Lions Stadium
Alumni Stadium Requests

Alumni Stadium Requests Alumni Stadium Team Room 1 Alumni Stadium Team Room 2A Alumni Stadium Team Room 2B Alumni Stadium Lounge
York Lions Stadium Requests

York Lions Stadium Requests Lions Stadium (Field) - Approval from A&R Business Development Required Lions Stadium Lounge (North) Lions Stadium Lounge (South) Lions Stadium Team Room 3 Lions Stadium Team Room 4 Lions Stadium Team Room 5 (Not Available April - October) Lions Stadium Team Room 6 (Not Available April - October)

Staffing fees will be incurred
Anticipated Number of Attendees

Total Number of Attendees (spectators, volunteers, participants, etc).
Number of York University Students

Current Students
Number of External Participants

Includes York University Alumni
Is this a Charity Event?

Is this a Charity Event? Yes No

If this is a charity event, we will require a letter from the Charity authorizing they are in support of the fundraiser.
Equipment Requirements

Equipment Requirements None Aquatic Basketball Nets Badminton Nets Badminton Standards Basketballs Benches Bleachers (Full) - Only in the Main Gym Bleachers (Partial) (Only in the Main Gym) Chairs Field Flag Markers Keyboard Lane Markers Picnic Benches Podium Referee Stands Shot Clocks Soccer Nets Stage Stanchions Starting Blocks Tables Tents (Pop Up) Volleyball Antennas Volleyball Standards Volleyballs Volleyballs Nets Water Hose Waterpolo Nets Other Other

- Additional fees may be incurred.
- Please outline the quantity of each item
being requested.
- Laptops are not provided by Athletics &
Recreation
Quantity of Equipment
A/V Requirements

A/V Requirements None Jumbo Tron Laptop Microphone (Wired) Microphone (Wireless) PA System Projector Video Board Score Board (Flip Board) Screens Speakers Video Other

Additional fees may be incurred. Please outline the quantity of each item being requested.
Quantity of A/V Equipment
Service Requirements

Service Requirements None Athletic Therapist Event Set Up / Strike External Vendors (please provide details below) Field Lining (Full Lining) Field Lining (Perimeter Lines) Protective Floor Covering Toronto Police York Security Other

Additional fees may be incurred. Please outline the quantity of each item being requested.
Age Range of Participants
Will the Event have a food / beverage component?

Will the Event have a food / beverage component? Yes (please indicate the food provider) No

Permission from Aramark is required if an on campus caterer is not being used. Proof of authorization is required prior to permit being issued.
Name of On Campus Caterer

Complete this section if you are planning on having food / beverages at your event.
Will an Admission / Register Fee be Charged to Participate or Attend this event?

Will an Admission / Register Fee be Charged to Participate or Attend this event? Yes (please specify amount below) No
Admissions Fee $ Dollars . Cents
Method of Payment (if there are associated fees)

Please provide complete budget number for internal journal transfer. No charges will be applied until contract has been signed and finalized
Complete Budget Number Required (if paying via journal transfer)
Terms and Agreement

Terms and Agreement I hereby certify that I have authority to sign and approve this application The applicant agrees to be responsible for costs resulting from damages, or other costs directly related to the execution of this event I have read and agree to the terms of the University's Policy and Procedures on Temporary Use of University Space

All points must be read and checked prior to submitting the booking request