UR Tracking Number: 

Date of Special Event

Name of Person Requesting

Department

Name of Special Event

Email

Phone Number

Time

How Many Vehicles

Number of Attendees

PLEASE CHECK ALL THAT APPLY:

Meet/Greet?

Number of spaces to be Coned Off

Open Gates?

Attendant Needed in Booth?

Time Attendant Needed

Valet Parking?

Number of Attendants Needed for Valet

Event Signage?

Sandwich Boards Needed?

PLEASE NOTE: Department is responsible for

for providing the signs; we only provide the

sandwich boards to display them

Additional Information:

Special Event Coordinator Use ONLY :

Bus Charter/Services for  

Price $______   Billed (Date ____________)   Payment Received

Req Received (Date ___________)   Req #  _____________

MRB LOT RESERVATION PRICING: Price: $5.00/Per Parking Space. To reserve entire lot (includes 1 attendant) is $150.00
Attendant cost/per hour (2 hour minimum) $25/hour For 6 or more attendants, a Supervisor will be required.
Supervisor Cost/per hour (2 hour minimum) $30/hour
Payment can be made by: 312 Req (Please send to PO Box 270485; ATTN: Monica

CANCELING AN EVENT: Please contact the Special Events Coordinator via email or phone to let
her know the event has been cancelled so you will not be charged.
(585) 273-2140 /mgayton-tanksley@parking.rochester.edu