Spirit Program Appearance Request Form

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Spirit Program Appearance Request Form Thank you for your interest in the Rutgers University Spirit Program. In an effort to service the numerous requests we receive, we ask that you please fill out the following form completely and submit a minimum of four weeks in advance. Your submission of this form represents a REQUEST only and does not guarantee an appearance. Requests will be fulfilled based upon availability. You will be invoiced following the completion of the event. Changing room and water must be provided. A restroom cannot be used for a changing room. We ask that you please do not promote an appearance by the Rutgers Spirit Program until the request has been confirmed. Rutgers Athletics events have precedent over events through our request program. Thank you for your interest in Rutgers Athletics!

 Event Information Sponsoring Organization/ Group: _____________________________________________________________________________________ Event Name: ________________________________________________________ Event Date: _______________________________________ Start Time: ______________________ End Time: ______________________ (Two-Hour Maximum) Event Location/ Address: _______________________________________________________________________________________________ Changing room location: ________________________________________________________________________________________________ Purpose of Cheer/ Dance and/or Mascot: ____________________________________________________________________________

 Contact Person Information (day of event) Name: __________________________________________________ Cell Phone: _____________________________________________________ Email Address: ____________________________________________________________________________________________________________

 Type of Appearance

☐ Scarlet Knight ☐ Up to 4 members of the Cheer OR Dance Team ☐ Up to 4 members of the Cheer OR Dance Team with the Scarlet Knight (additional $100) ☐ Appearance by entire Cheer OR Dance Team (additional $250)  Rates

*Events not on the Rutgers New Brunswick Campus may be charged travel expenses*

☐ University appearance: $100 (2-hour maximum) ☐ Non-University events/ non-profit organizations: $200 (2-hour maximum) ☐ Corporate and personal events: $350 (2-hour maximum) ☐ High Point Solutions Stadium football game day tailgate appearance by Scarlet Knight AND Cheer/ Dance: $500 (20-minute appearance maximum. Specific rules apply. Please call for specifics.)

 Payment Information (invoice will be sent after the event) Name: __________________________________________________ Cell Phone: _____________________________________________________ Email Address: ____________________________________________________________________________________________________________ Address (for invoice): ____________________________________________________________________________________________________ MAIL: Rutgers Athletics Attn: Sports Marketing 83 Rockafeller Road Piscataway, NJ 08854

E-MAIL: Scanned and emailed to: [email protected] FAX: (732) 445-3862 Questions?: (732) 445-7342

I understand that the Rutgers University Athletics Department is in no way liable for any injuries or damage sustained as a result of the Scarlet Knight appearing at this event. Signature: ______________________________________________________________________ Date: ____________________________________ For office use only: Student Assigned: _________________________________ Date confirmed: ________________ Invoice Number: ___________