Memorial Student Center : Housing Request Form

UW-Stout Housing Request

The form is to be completed ONLY after booking your camp or conference with the University Conference Coordinator. If you have questions or problems while completing this form, please contact the University Conference Coordinator at (715) 232-5132 or michelss@uwstout.edu.

Please refer to the Housing section of the Summer Camp and Conference Guidelines and Procedures manual if you have any questions while completing this form. *If your request spans multiple weeks, please complete one form for each week.

General Information

Event Name:

Date(s) of Event: (i.e. 07/01/2008-07/07/2008)

Event Contact Person:

Phone Number: (i.e. 555-555-2345)

Alternate Phone Number:

Fax Number:

Email:

Counts

Estimates are required at least one month in advance for cafeteria service.
Guaranteed numbers for cafeteria are due TWO WEEKS prior to the events start day.
Final counts for Catering are due THREE DAYS prior to each catered event. Details need to be confirmed with the catering manager. (715-232-3463)

Participants

Youth conferences-participants will be placed in double rooms unless otherwise noted.
Adult conferences-please note how many singles are needed for your group in the "Special Notes/Comments" box at the end of the page.

This form contains counts that are:

What day and two-hour block of time do your participants plan to arrive?

Arrival Date: (i.e. 06/02/2008)

Arrival Time: (i.e. 9:00am-11:00am)

What day and two-hour block of time do your participants plan to depart?

Depart Date: (i.e. 06/02/2008)

Depart Time: (i.e. 9:00am-11:00am)

How many participants are male?

How many participants are female?

Describe any accommodation needs.
(i.e. wheelchair accessibility for one)

Chaperones

Chaperones are required for all youth camps. (Under 18 years of age.)
- One free chaperone per floor for 1-10 participants on a floor.
Typical occupancy capacity varies from 24-28 per floor/cube for participants.
Chaperones will be placed in single rooms unless otherwise noted.

What day and two-hour block of time do the chaperones plan to arrive?

Arrival Date: (i.e. 06/02/2008)

Arrival Time: (i.e. 9:00am-11:00am)

What day and two-hour block of time do the chaperones plan to depart?

Depart Date: (i.e. 06/02/2008)

Depart Time: (i.e. 9:00am-11:00am)

How many chaperones are male?

How many chaperones are female?

Do you want telephones in the chaperones' rooms?

Describe any accommodation needs.
(i.e. wheelchair accessibility for one)

Group Space Reservations

(Lobby Areas, Basement Rooms, Lounges)

Area Requested:

Date:

Start Time: (i.e. 9:00am)

End Time: (i.e. 10:00pm)

Used for: (i.e. check in, game night, etc.)

Set-up Needs (if any):

Additional Request(s):
(Please indicate information requested above for each additional request.)

Special Notes/Comments:
(i.e. Would like to drop off check-in packets the day before check-in.)

Conference and Reservation