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Weekend Classroom Reservation Request Form

Reservations will not be guaranteed over 30 days in advance.

If you change the existing room configuration, please return it to its original form. Failure to do so will result in your being charged the cost of returning the room to its original configuration (estimated by Facilities to be $75).

Please be sure to include time needed for set-up & clean-up when choosing your Event Start Time & Event End Time.

Name:
Email Address:
Telephone:
Lab/Affiliation with SSPPS:
Reservation
Classroom Number:
Event Title:
Event Date:
Event Start Time:
Event End Time:
If this is a recurring event, please list additional dates here:

Keys must be picked up from Terry Le in PSB Suite 1111, Room 1113A.

Please email tele@ucsd.edu to make an appointment.

Keys can be picked up on Friday between 8:00a.m.-3:30 p.m.
and returned the Monday after the date requested between 8:00 a.m.–9:00 a.m.