Dartmouth Camp/Clinic/Community Clubs Space Request Form

Request Must be Submitted at Least Three Weeks in Advance

Submitter's Name: *    
Requestor's Name: * Tel # *
Email Address:  Event Type:
(camp/clinic/community club) 
Camp Director:   *    
Sponsoring Org:     * Compliance Officer Approval  
Account #  * Will a Fee be collected from participants?  
 Exp. # of Campers:   * Exp. # of Beds including counselors   *

Single Occurrence Events

Space/s requested:

Total Number of Fields Requested: MinimumMaximum
Additional Facilities Needs:
i.e. movies, recreational activities
WHEN First Day of Camp  WHEN Last Day of Camp


Repeat Session: No Yes If yes:

Starting Time:

Ending Time:


 Past Midnight

No Yes  
Is this a recruiting event? No Yes

Early Access Date for Residence Hall:

Late Departure Date from Residence Hall:

 Additional Information:





     * Fields must be completed