Conference Housing Request
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:
Conference/Group Name:
Number of Participants:
Gender of Participants:
Male
Female
Both
Age range of attendees:
Preferred Reservation Dates (between June 4 – July 20, 2018)
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 Suites
Double Studios
Triple One-Bedrooms
*Floor plans for all available Summer Conference Housing room types within the Regent Commons can be found at the On-Campus Housing Page under the tab labeled "College Housing: Commons Floor Plans." Please note that only double occupancy studios, triple occupancy one-bedrooms, & four bedroom suites (quads) are available for summer 2018 conference housing reservation.
Conference Housing Room Rates (Please Choose One):
$45.00/person/night - (without bed & bath linens)
$50.00/person/night - (with 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.