Athletic Facility Request Form

Submission of the following form is a formal request to use the facilities and/or services of Penn State Harrisburg. Note that all requests are subject to approval; submission of the request form should not be considered an approval for use of facilities and/or services.

Notes:

  • Groups must have an educational component.
  • Most facilities and services have associated fees. An estimated fee schedule will be provided for requests that meet initial approval.
  • Programs involving minors (under the age of 18) are governed by Penn State  Policy AD-39 .
  • The use of the Penn State name is limited to the location of approved events, as per  Policy AD-03 .

Please complete the following form in its entirety; incomplete forms will not be processed.

Will minors (participants under the age of 18) be attending this event? *


Please indicate the projected number of participants for this event, that are minors under the age of 18
Please indicate the projected number of adult participants/attendees at this event
Please choose the Athletic Facility being requested *





Have you utilized our space for this event in the past?


Additional Services requested





 
* = required field