Sammy Reservation Request

Office of Campus Life and Dean of Students

Hahn Student Services 245 1156 High Street Santa Cruz, CA 95064

Phone: (831) 459-4446
Email: deanofstudents@ucsc.edu

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Maintained by deanofstudents@ucsc.edu
Last Reviewed on 04/30/12

Sammy Reservation Request

Please complete the following form to invite Sammy the Slug to your upcoming event. All requests must be submitted electronically. Completion of this form does not guarantee an appearance. Please type your information into the form below, and click the "submit" button to immediately send this information to Sammy the Slug's Agent.

Reservation Contact Information

First Name

Last Name

Phone Type
Cell
Home
Work

Phone Number

Email Address
Direct Supervisor Name
Direct Supervisor's Department

UC Affiliation
Student
Faculty
Staff
Other

Supervisor Phone Type
Cell
Home
Work

Supervisor Phone Number

Unit Business Manager

FOAPAL to be Charged

Fund

Organizational Code

Account Code

Event Information

Event Description
Provide a brief description of the event type (ex. Student Outreach, Club Game, Meet & Greet)

Event Type
On Campus
Off Campus

Event Location
For off-campus events, include address, city, state and zip code. For on campus events, state the campus location at which the event will be held.

Sammy Dates and Times

Date1 Start Time End Time

On-Site Day of Event Contact

First Name

Last Name

Cell Phone

Email Address

Description of Activities
Please provide a brief description of the activities Sammy will be performing.

Terms and Conditions

» Requirement to complete reservation please read the Sammy Rental Terms & Conditions

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