EmailMe Form - Brochstein Pavilion Facility Use Application

Responsible Party *

Event Type

Event Name

Date Time *

MM / DD / YYYY

Start Time *

HH : MM AM/PM

End Time *

HH : MM AM/PM

Expected Attendance *

Contact Person *

First Last

Department

Mail Stop

Phone

### - ### - ####

Email

Entity *

Org *

Fund Type *

Fund Source *

Account Code *

Classification *

Program *

Activity *

Future Use *

Rental Request Type *

University Departmental Facility Fee $400 up to 3 hours

Exclusive use $2000

$500 for each additional hour

Please note that exclusive use is only allowed after regular business hours.

Catering *

Yes

No

All food and beverages must be purchased from the onsite operator.

Alcohol *

Yes

No

All alcohol must be purchased and served by the onsite operator.

For an event request held by a non-Rice entity, do you have insurance for this event?

Yes

No

For more information about this, you may contact pavilion@rice.edu

Equipment/Company

If you are bringing in external equipment, please list all items and the company they are supplied from.

Set up details

Final arrangements for set-up, A/V equipment, catering, and alcohol must be made at least 10 business days prior to the scheduled event and will require a signature for confirmation.

Electronic Signature

I have read and understand my responsibilities as a user of the Brochstein Pavilion and agree to abide by all policies stated on this agreement. Any changes to this form must be submitted in a written request to pavilion@rice.edu

Electronic Signature Agreement *

I Accept

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.