Name or Name of group:

                   
Reason for visit:    Research Instruction Outreach Conference/Meeting
          
Contact person for reservation:

Daytime telephone number:  

Email Address:

Name of individual responsible for billing:

Billing address:
   

Requested arrival date:    January February March April May June July August September October November December 12345 678910 1112131415 1617181920 2122232425 262728293031 2007 2008

Requested arrival time:    6:00 am6:30 am 7:00 am7:30 am 8:00 am8:30 am 9:00 am9:30 am 10:00 am10:30 am 11:00 am11:30 am Noon12:30 pm 1:00 pm1:30 pm 2:00 pm2:30 pm 3:00 pm3:30 pm 4:00 pm4:30 pm 5:00 pm6:00 pm 6:30 pmAfter 7:00 pm

Requested departure date:  January February March April May June July August September October November December 12345 678910 1112131415 1617181920 2122232425 262728293031 2007 2008

Requested departure time:  6:00 am6:30 am 7:00 am7:30 am 8:00 am8:30 am 9:00 am9:30 am 10:00 am10:30 am 11:00 am11:30 am Noon12:30 pm 1:00 pm1:30 pm 2:00 pm2:30 pm 3:00 pm3:30 pm 4:00 pm4:30 pm 5:00 pm6:00 pm 6:30 pmAfter 7:00 pm
                   
Number in party:

Anyone under the age of 18? Yes No  
    (If yes, a Release of Liability form must be submitted.)
                      
Will alcohol beverages be served during your stay? Yes No
    (If yes, an Alcohol Beverage Permit Application must be submitted.) 

Sleeping rooms in the Lodge or Mead Residence Hall will be assigned based on group size. If any special needs exist to accommodate gender or family groups, for example, please specify:

   Please inidcate if you will need meeting space:

Classroom (above Boathouse; capacity 30)

Office Conference Room (Capacity 12)

Notes:

After clicking the Submit button below, a page will load showing the details of your reservation. It is recommended that you print this page for your records. Remember, if you do not receive a reply within 5 business days, please contact us via email or at (715) 358-5667.