University Center Media Equipment Request Form Breadcrumb Enrollment Management and Student Affairs University Center UC Media Equipment Request Form Section Menu Enrollment Management and Student Affairs Skip Sidebar University Center Request Space Renting Space Offices In The UC Rooms UC Game Room Frequently Asked Questions History of the UC Contact Us & Directions Temporary Office Locations Our Staff Contact Information Contact Name First Last Contact Email Contact Phone Number UTC Sponsoring Organization, Group, or Department: Responsible University Account (If Applicable): Event Information Event Name Event Description Event Location Date(s) of Requested Reservation For Day Use Only- Event Start and End Times Equipment Information Please indicate the equipment requested by checking the appropriate boxes below. Wired Microphone Microphone Stand Travel Projector Projector Screen Harbinger Speaker System Aux Cord Mixer Other (please explain below) Please indicate the quantity of the device(s) checked above. Leave additional comments here. Liability Authorization By signing your electronic signature below, you acknowledge that you are responsible for the care and safe return of all borrowed equipment. You or a member of your organization/department must return all equipment to the UTC University Center Office (Room 226). By signing, you also acknowledge that the equipment will be safeguarded from theft, elements of weather, and any other circumstances that may damage equipment. If equipment is damaged during the time of use, you or your organization may be liable for monetary damages and/or replacement of the equipment. Fees and replacement costs will be as the discretion of the UTC University Center Staff. Sign above Leave this field blank
