Starkville Church of Christ

First Name

Last Name

Email

Phone Number

Are you making this request on behalf of a group or organization?
yes
no

If yes, what organization or group?

Type of event and purpose

Date(s) of event (maximum of 3 consecutive days)

Start Time of Event

End Time of Event

Provide info if you need additional time before and after for cleanup

*The UCSC is only available in very rare circumstances. It cannot be reserved through this form. Check with the campus minister for more information.

Comments / additional information

I have read the rules and regulations and commit to following them.
Agree
Disagree

Date of Request

Facilities Request form for events