List the sponsoring club, organization, department, or business:

Contact Information:

Full Name:
Email:
Phone #:

Choose the appropriate categories for your event:
Events: N/A Ceremony Festival Reception
Arts & Entertainment: N/A Film Music Theater Dance
Sports & Recreation: N/A Athletics Physical Activities
Education: N/A Lecture Workshop
Meeting: N/A Student-oriented Political Civic

Event Description:

Event Location:

You may enter up to three (3) dates/times that your event will be taking place. If your event will be taking place on more than three (3) occasions, please complete this form again for the additional dates/times.
Time/Date 1:

Time/Date 2:
Time/Date 3: