Conference Services

Lawrenceville, NJ08648-3099

2083 Lawrenceville Road

T 609-896-7700

F 609-896-7707

2010 summer camp and conference request FORM

Please complete all requested information, sign and send back to the address above. You may also type your name in the signature box, save and email to the address above.
PLEASE COMPLETE ONE FORM PER CAMP OR CONFERENCE.
Name of Group:
Contact Name(s):
Phone Number(s):
Fax Number:
Email Address:
Billing Address:
Approximate Number of Participants:
Approximate Number of Staff:
CampType (Please respond Yes/No):
Day Camp ONLY: Overnight Camp ONLY: Both:
In accordance with New Jersey Youth CampSafety Standards, one (1) chaperone is required for every twenty (20) participants under the age of 18.
Check In
Date: / Time:
Location (Please respond Yes/No):
Residence Hall: Alumni Gym: StudentRecreationCenter:
Other:
Meals on Check in Day (Please respond Yes/No):
Breakfast: Lunch: Dinner:
Check Out
Date: / Time:
Location (Please respond Yes/No):
Residence Hall: Alumni Gym: StudentRecreationCenter:
Other:
Meals on Check in Day (Please respond Yes/No):
Breakfast: Lunch: Dinner:
IMPORTANT FOOD SERVICE INFORMATION:
Licensee shall provide to Rider University Director of Business Conferences and Camps a guaranteed minimum number of participants at least five (5) business days prior to Licensee’s arrival on campus. Licensee will be billed for the guaranteed number or the actual number of participants, whichever is greater. If no guaranteed number is provided, the number of participants quoted above will be used as the guaranteed number.
RiderUniversity Concession Policy:
RiderUniversity reserves all rights to concessions and vending on the RiderUniversity campus. No group may engage in concession and/or vending without prior, written consent of RiderUniversity and Conference Services. For more information on this policy, please contact the Director of Business Conferences and Camps at (609) 896-7700.
Facilities Requested (Respond Yes/No to all that apply and include dates and times if known):
Indoor Basketball Courts: / Outdoor Basketball Courts: / Outdoor Soccer Fields: / Pool:
Outdoor Recreation Fields: / Theater Space: / Other Meeting Space:
Other Services: (Please respond Yes/No to all that apply):
Ice and Water Service: / Linen Set (Please include quantity):
(Set includes: 2 sheets, pillowcase, pillow, washcloth, towel)
Other requests not listed above:
Does your organization have tax exempt status?
If yes, please forward your proof of status with this completed form. Failure to do so will result in the application of New Jersey sales tax to your organization’s invoice.
Program Cancellation Policy:
The charge for a camp or conference cancelled within the timeframe below will be levied upon programs that have submitted this form to Conference Services but cancel their program.
Cancellation between 60 and 90 days: 25% of total estimated facility rental
Cancellation between 30 and 59 days: 50% of total estimated facility rental
Cancellation less than 30 days prior to program start date: 75% of total estimated facility rental
Insurance Requirement:
All organizations contracted to use RiderUniversity facilities must provide RiderUniversity a Certificate of Insurance prior to the start of the program and agrees to maintain at their expense such insurance with companies qualified to do business in New Jersey and acceptable to RiderUniversity. The certificate of insurance should be furnished to RiderUniversity prior to the use of the facilities. All insurance carriers must be licensed in New Jersey with an AM Best rating of A- or better.
Other Important Information:
  • Please note this is a request form and as such availability at RiderUniversity is not guaranteed. Actual spaces reserved will be designated on formal agreement which will be sent to contact name listed above.
  • Please submit a tentative schedule of this program. If a tentative schedule has not been created, please include last years schedule with this form. This will assist with the reservation process.
  • Conference Services will schedule a pre-conference meeting one month prior to the group’s arrival on campus to go over details of program.

I fully understand all of the information above and RiderUniversity policies herein:
Signature:______
Print Name: ______
Date: