Facility Request Form

Your Name (required)

Address Line 1 (required)

Address Line 2

City, State and Zip (required)

Daytime Phone (required)

Evening Phone (required)

Your Email (required)


University-Related Events

University Department

Faculty Advisor

University Account Number (required)

Your request will not be considered unless an account number is given. If you are not a University entity, enter the number zero in the box.

Community/Organization (if non-University)

If non-profit, federal ID no.

Event Info

Title of Event (required)

Projected Attendance (required)

Event Description (required)

Admission Charged (required)
 Yes No

If Yes, Amount Charged

If ticketing this event, all sales must be coordinated throught the UM Box Office. Please contact Jennifer Pardoe at 662-915-7412 to make arrangements. Outside tickets sales are not permitted.

Seating Type (required)
 Reserved General Admission

If choosing reserved seating, you must contact the UM Box Office to receive permission.

Reserved Seating contract signed with UM Box Office?
 Yes No

Will your event have programs, or other distributed materials?

 Yes No

Rehearsal Scheduling

Is a Rehearsal Needed?
 Yes No

Rehearsal Date requested

Rehearsal Time Requested

Rehearsals incur additional usage and labor fees. You will be provided an estimate for services upon approval.

Perfomance Scheduling

Performance date requested (required)

Performance time requested (required)

Set-up time requested

Type of Event

Main Hall Events
 Lecture/Seminar Music (Acoustic) Music (Amplified) Dance/Drama

Studio Theater Events
 Seminar/Small performance Reception/luncheon Other-configured as needed

Contact our technical director, Matt Zerangue at 915-6619 for lighting and sound needs.

I understand that a non-refundable scheduling fee of $100 will be assessed upon the approval of my event.

 Yes No

I understand that any changes to the date and time or my event are to be made no later than 1 month prior to the event. Changes are subject to availability and staffing and may incur additional fees. Events cancelled within one month of the event date will incur possible charges.

 Yes No

I understand that no drugs or alcohol may be used in the Ford Center. No events may use open flame. Any damage made to facilities, furniture, equipment, table linens, etc. is the responsibility of the sponsoring organization. Additional charges will be added should damage occur. Caterers are to load-in through the rear loading dock and are responsible for their own equipment.

 Yes No

I understand that it is my responsibility to contact Parking and Transportation services to arrange parking passes and reserved parking areas for my event. The Ford Center does not provide or distribute parking passes for events.

 Yes No

I understand that my event is NOT approved until I receive official confirmation via email from the Ford Center.

 Yes No