Asa Packer Campus Internal - Outside Event - Request Form

Contact Person:     Date: 
Sponsoring Organization:     Account: 
Campus Address: 
Phone #:     Fax #:     Email:  (required)
Event Date(s) 
Event Start Time:     End Time: 
Type of Event:     Estimated Attendance: 
Event Location:  Library Drive (UC) UC Lawn Franz Plaza (UC) Leadership Plaza (Alumni) Sacred Grove (West of Packard) Alumni West Lot Campus Square Courtyard Karakash Plaza (Front of Packard) Maginnes Lawn Butz Plaza (Fairchild/Martindale) Sculpture Garden (Sinclair/Whitaker/Neville) Asa Drive Island Wilbur Fountain Area *Tamerler Courtyard (RBC/ZAC) Whitaker Terrace East Side Parking Lot Memorial Walkway *ZAC Approval Needed 

All requesters must fill out this City of Bethlehem Activity Permit. This form must be filled out and faxed back to the UC Reservation Desk at (610) 758-6132, and must be submitted with two weeks notice.

 ACTIVITY PERMIT Faxed?     Date Approved: 

 

An Alcoholic Beverage Request from must be filled out if alcohol is being planned for the event.

 An Alcoholic Beverage Request form is needed: YES  NO 
Alcoholic Beverage Request form received: 

If your event requires the use of a tent covering the area exceeding 900 square feet and.or having an occupant load of more than 50, you must first register with the city of Bethlehem. For information please contact the Building and Housing Inspections Office at (610) 865-7091, located in City Hall. You will be required to submit a Certificate of Flammability to the City of Bethlehem and the University Center Reservation Desk.
"All contractors/vendors engaged to erect tents covering an area exceeding 900 square feet and/or having an occupant load of more than 50, shall provide Lehigh University with a standard ACORD Certificate of Insurance evidencing Commercial General Liability at the minimum limits of $1,000,000 per occurrence/$1,000,000 aggregate. Lehigh University shall be named as an Additional Insured on all liability insurance policies."

 Tent(s) will be used at this event: YES  NO 
Certificate of Flammability received: 

The sponsoring party is responsible for all clean up! Contact Brickman Services for trash containers at (610) 758-3657. Failure to clean up the area will result in the sponsoring organization paying for any associated charges!

The sponsoring organization is responsible for issuing all written work orders, through Facilities Services, for any special needs, such as: tables, chairs, barricades, staging, electrical requirements, etc. Send written requests to Facilities Services, 461 Webster Street or by filling out the Facilities Services work order form.

Contact the Dining Services Office at (610) 758-4512 to arrange food for your event.

The University Center Reservation Staff is not responsible for non-compliance by the Sponsoring Organization or the attendees. Any additional charges incurred by the sponsoring party will be charged directly against the sponsoring organization's account.