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Request Forms

Regent Commons Summer 2013 Conference Housing Request Form

This form is exclusively for Regent University Staff use, for any and all staff liaisons overseeing registered and approved University-hosted summer conference and camp events. Please refer to the "Conference Housing Terms & Guidelines" found at the following link, before completing and submitting this form: http://www.regent.edu/campus/housing/forms/. All summer conference housing reservations and requests must be submitted to the Office of Residence Life for final approval 60 days prior to the desired group arrival/room occupation date.

Date of Request (Today):
Department Contact Information:
Conference/Group Name:
Regent University Department (Conference Host):
Department Representative/Staff Liaison:
Liaison Title:
Liaison Email:
Liaison Phone Ext:
Dept. Cost Center #:
Dept. Account (Line) #
Conference/Group Information:
Number of Participants:
Gender of Participants
Male
Female
Mixed
Age range of attendees:
Preferred Reservation Dates (between May 24th - July 26th 2013)
1st Choice:
2nd Choice:
3rd Choice:
Room Configurations:
- Group is willing to receive a mixture of room-types within this reservation
- Group would prefer to NOT receive any of the following room-types within reservation (may choose only one):
Quads
Double Studios
Double One-Bedrooms
Triple One-Bedrooms

*Floor plans for all available Summer Conference Housing room types within the Regent Commons can be found at the following link: http://www.regent.edu/campus/housing/commons/commons_layout.cfm. Please note that only double occupancy studios, double & triple occupancy one-bedrooms, & four bedroom suites (Quads) are available for summer 2013 Conference housing reservation.
Conference Housing Room Rates (Please Choose One):
$30.00/person/night - (w/o bed & bath linens)
$35.00/person/night - (w/bed & bath linens)
Conference Group After-Hours Contact Information:
After-Hours Staff Contact Assigned to Group:
After-Hours Staff Title:
After-Hours Staff Cell Phone #:
Conference Housing Reservation Contract:
Regent University Staff Member Authorized to Sign Final Group Contract:
*As the Regent University Staff Liaison assigned to and responsible for the requested conference group, I have both read and agree in full to all terms and policies as outlined within the "Regent University Conference Housing Terms & Guidelines", and agree to abide, uphold, and be held fully responsible for all rules, policies, and mandates as outlined within this specific guideline. I understand that failure to do so may result in the cancellation and forfeiture of my department's/group's current Conference Housing reservation request.