SQI / ______

NANYANG TECHNOLOGICAL UNIVERSITY

SPORTS & RECREATION CENTRE

APPLICATION FOR USE OF SPORTS FACILITIES / EQUIPMENT

NOTE : Application form should be submitted to the Sports & Recreation Centre three days before the day of use.

Name of Organisation : ______
Name of Applicant : ______ID. No.:______
Applicant’s designation in organisation : ______
School / Department : ______Hostel Room No: ______
E-Mail Address: ______Tel / Handphone No. : ______
Facilities required : ______
Purpose of use : ______
Date/s : ______Time : From ______a.m. / p.m.
to ______a.m. / p.m.
Expected No. of participants : ______Is your activity open to outsiders? Yes/No
If Yes, please furnish details of external participants: ______
Remarks :
1. For your safety, you are advised to stop play and move into nearby buildings when there is lightning or when the lightning warning sirens are sounded. In event of wet weather, you are not to use the outdoor facilities when the condition is not conducive (eg soggy fields, wet courts) to avoid injuries and harm.
2. Please ensure that all activities after 9:00pm should be within acceptable noise level in order not to cause disturbances to the nearby staff quarters. No excessive noise levels or use of PA systems are allowed after 10:00pm.
3. The Nanyang Technological University and S & R Centre, its staff and agents, shall not be liable or be held responsible for any mishap, injury, disability, death, damage or loss of property or any other loss/damage arising from or in connection with the use of its sports facilities/equipment.
I, the undersigned, will also abide by the rules & regulations governing the use of facilities and equipment.
Signature of applicant : ______Date : ______
Approved by : ______Date : ______
FOR OFFICE USE
Permit Issued
Notice put up
CSD informed
Invoice issued
Staff arranged

EQUIPMENT ON LOAN

Date/s of Use : ______

ITEMS / Qty / Available
Y/N / DATE / DATE / DATE
OUT / IN / OUT / IN / OUT / IN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Declaration by applicant:
I have checked and found the above equipment in good working condition while signing them out. Should the equipment be damaged or lost during the period on loan to us, I shall be responsible to have them repaired or replaced without delay. / SIGNATURE
Applicant / Staff / Applicant / Staff / Applicant / Staff
REMARKS

Item/s damaged or lost :

______

______

Disk E : Form-Application of Facilities.doc (22-1-08)