Facility Reservation Request Form

Did you view the facility reservation calendar on our website to assure the date/time being requested is available? This must be clicked yes before the form can be submitted *This question is required.

First Name *This question is required.

Last Name *This question is required.

Telephone number (###) XXX-XXXX *This question is required.

Email address (Only reservations submitted using a "jefferson.edu" e-mail address will be considered)
*This question is required. This question requires a valid email address.

Are you a full-time student or a member of the Jefferson Recreation & Fitness Center?

Are you affiliated with a student organization or club?

What organization/club are you affiliated with?

What is the purpose of your facility reservation request?

What space are you looking to reserve?

What equipment is necessary

What date(s) and time(s) are you looking to reserve? Please be specific. The recreation areas may not be reserved during peak hours Monday through Friday (11:00 a.m. – 2:00 p.m.; 4:00 – 6:00 p.m.), and reservation requests must be submitted at least one week in advance. This question requires a valid date format of MM/DD/YYYY.

calendar

Time

Is this a reoccurring reservation? If yes, please describe below

Please enter an 'other' value for this selection.

How many people will be in attendance? Reminder: If you plan to bring guests that do not have facility access, there will be a $10 guest fee upon entrance to the JRFC.