Department Request for Guest Access to University Fitness Center
Guest Information
First Name:
Last Name:
Purpose for Campus Visit:
Expected Arrival at University Fitness Center:
Length of Stay:
1 Day – $15
Up to 1 Month – $30
Sponsoring Department Information
Sponsoring Department:
Contact Person's First Name :
Contact Person's Last Name:
Contact Person's Email:
Is the department covering the guest access fee?
Yes
No
I understand the sponsoring
department will be billed for this expense.
Agree
Please advise the guest that there will be a fee for use of the Fitness Center payable at the time of their visit.
Agree
Cost Center/Budget and Fund:
Contact Information