Revised 2/2013
Facility Rental Form
AAMU Student Health & Wellness Center
HOURS: M-F: 6 a.m. – 10 p.m.; Saturday: 9 a.m. – 6 p.m.; Sunday: 1 p.m. – 7 p.m.
Space is not reserved until you have received a confirmation from the Student Health and Wellness Center. To insure a quality rental experience and
adequate processing time, please submit your facility request form at least 14 DAYS from event. Payment is due upon approval of request in the form of
money order, cashier’s check, or personal check made payable to AAMU Student Health & Wellness Center Foundation.
Name: Today’s Date:
Group: Phone #:
E-mail: Fax #:
Address: City: State: Zip:
Type of Event: Estimated Attendance:
$30/court/hr ($25 non-refundable deposit required)
Bowling Alley
# of Lanes 1 2 3 4 5 6
$30 per lane (up to 6 people per lane) 1 hr bowling/Shoe
rental ($25 non-refundable deposit required)
$30/hr ($25 non-refundable deposit required)
Juice Bar area (30 capacity)
$30/hr ($25 non-refundable deposit required)
Up to 45 participants:
$60/hr (plus lifeguard fee/$10/lifeguard/hr--3 lifeguards required)
($25 non-refundable deposit required)
46-61 participants:
$70/hr (plus lifeguard fee/ $10/lifeguard/hr—4 lifeguards required)
($25 non-refundable deposit required)
Room 201 (25-30 capacity)
$25/hr ($25 non-refundable deposit required)
Room 202 (35-40 capacity)
$30/hr ($25 non-refundable deposit required)
Multipurpose Room 115 (50 capacity)
$35/hr ($25 non-refundable deposit required)
Aerobics Room 208 (25 capacity)
$25/hr ($25 non-refundable deposit required)
Aerobics Room 209 (35 capacity)
$30/hr ($25 non-refundable deposit required)
Aerobics Room 210 (35 capacity)
$30/hr ($25 non-refundable deposit required)
$25.00 - tables/chairs in rooms, mats in 1/2 of gym
$50.00 - mats in whole gym
*Separate fee if SHWC staff is requested to set up/arrange tables, chairs in rooms or put down mats on ½ or entire gym floor.
Equipment Needed:
Basketball(s) (#) Volleyball(s) (#) Other
*Upon request approval, audio visual equipment should be requested, in writing, from the Telecommunication Center or reserved through the LRC Media Center.
1. Please check whom the program is open to: [ ] AAMU Students [ ] AAMU Faculty/Staff [ ] Alumni/Community/External
2. Will an entry fee be charged to participate? YES (if yes, how much? ) NO
My signature below indicates that the person, department or unit requesting space is financially responsible for all related charges
for services or damages to facility. I have read, understand and agree to the SHWC Facility Usage Guidelines.
Applicant’s Signature Date
Send the completed and signed facility request form to the address listed below. An e-mail will be sent to you alerting you to the
status of your request. Thank you.
Return to: Student Health & Wellness Center FOR OFFICE USE ONLY
Alabama A& M University Received By: ___________________
P.O. Box 1567 Approved/Denied By: ____________
Normal, AL 35762 Date entered into calendar_________
Phone: (256) 372-7000 Amount Paid: __________________
Fax: (256) 372-7005 Amount Due: __________________
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