Facility Request Form

Your Information
Event Info

Date Requested:

Time Requested (XX am/pm to XX am/pm):

Location Requested:

Type of Event:

Set-ups needed?
Alcoholic Beverages:

Please read carefully and check below: By my signature I certify that I am the person responsible at Wilson College for any damages incurred by and/or any inappropriate behavior exhibited by persons attending this event. Pennsylvania State Law prohibits dispensing alcoholic beverages to anyone under 21 years of age. Applicant certifies that he/she is 21 years of age and shall take reasonable action as is necessary to guarantee compliance with the law.