Special Events Form

Please complete and submit the following Special Event Form no later than fourteen (14) days prior to your event. This lead time is to allow the form to be reviewed and staff arranged for the event. Requests submitted less than 14 days prior to an event may be subject to late charges.

Atwood is committed to providing a safe and inviting environment to all of our guests. In order to meet that commitment, it is critical that we proactively work to promote and support the safety of everyone attending your event. The following information will be used to assess the concerns associated with your event to help determine if any, or what level of, precautions need to be arranged.

Reservation Confirmation Number (if you have one)
Contact Person
Email address
Date of Event
Type of Event Dance   Concert   Speaker   Other  
Please describe:

Name of Performer/Speaker

Number of Attendees
Expected Audience SCSU Community ONLY  
SCSU & General Public 
Outside Community
How is the event being advertised?


Is there a fee to attend? Yes   No
Contact Person who will be on site at the event  Cell Phone

Advisor's Name


Will Advisor be in attendance? yes no
How many volunteer staff will be working the event?

Important Information

Within 7 calendar days the information that is submitted will be reviewed by the Public Safety Department. A follow up phone call will be made to the event contact person listed above and the level of security will be finalized at that time.

All charges for security will be the sole responsibility of the organization sponsoring the event. Charges will be based on the current hourly rate for the officers from SCSU Public Safety or the St. Cloud Police Department. Use the following link to review the current hourly rates:

Budget code/Account Number (Only to be used if security is required)

The sponsoring organization will be responsible for all damages to the premises as a result of the event as detailed under General Policies VII - Section D. Inappropriate behavior including, but not limited to, the consumption of alcohol and illegal drugs, will not be tolerated and the continuation of the event will be at the discretion of security officers on duty, in consultation with the Atwood management on duty at the time of the event.

By submitting this form you are acknowledging the information is accurate as far as you are able to determine and that you understand the information detailed above.

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