Facilitated Programs & Activities Request Facilitated Programs & Activities Request Facilitated Programs & Activities Request Contact Info First Name * Last Name * TCU Email * Phone * Are you the primary contact for this program? Yes No (If No, please list the name and phone number of the primary contact) Group Information What group is requesting these games/activities? * TCU Student Organization TCU Residence Hall Other Specify Group Name * What is the purpose for this program/event? * Please provide three date and time options for this program. Two of the times can be on the same date, but we need at least two different days. Program start times should be before 7:30pm. Date 1 * Time 1 * 121234567891011 : 0030 AMPM Date 2 * Time 2 * 121234567891011 : 0030 AMPM Date 3 * Time 3 * 121234567891011 : 0030 AMPM Additional Information Will you be present for the entire time of the program, including set-up approximately 20 minutes before the start time? Yes No If No, please list an alternative contact (name and phone number) who will be present when you are not. What is the location for the program/event? * What is the estimated attendance? If you are you planning this event with another person or group, please list their name and contact information. How much is your budget for this program? (If there isn't a budget, enter None.) Please select an activity to include in your program/event. Find a brief description for each activity here. Select Activity - Select -8 Hours or BustBartending SchoolBlackout BlackjackConsent ContinuumDrunk GogglesJeopardy GameMirror, MirrorNap HappyPillow Talk BingoSafe Spring Break Quick Quiz CompetitionStress Less!Spin WheelWater Pong Is there any other information or specific ideas for your program would like to share with us at this time? Submit Δ
