Reservation Form – Class – Center for Limnology

Your Name(Required)

First Last

Your Email(Required)

Your Phone #(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone #(Required)

Position/Level of Education(Required)

Position/Level of Education "other"(Required)

Affiliation(Required)

Affiliation "Other"(Required)

Arrival Date:(Required)

MM slash DD slash YYYY

Estimated Arrival Time:(Required)

Morning

Afternoon

Evening

Departure Date(Required)

MM slash DD slash YYYY

Estimated Departure Time:(Required)

Morning

Afternoon

Evening

Lab space, boat and trailer requirements(Required)

As selections made, additional information requested below.

Microscope(s)

Refrigerator(s)

Freezer(s)

Boat (See above for certification info)

Trailer

Other (be specific)

None

Other lab space requirements (be specific)(Required)

Microscope(s) how often/long will you need to use:(Required)

Dissecting scope with camera

Dissecting scope without camera

Compound scope

Inverted scope

Refrigerator needs(Required)

Dates needed

How many full refrigerators

How many shelves

Freezer needs(Required)

Dates needed

How many full chest freezers

How many 1/2 chest freezers

How many shelves

Other (be specific)

Lake and boat information(Required)

Lake name

Do you need a boat dropped?

Do you need a canoe to transport?

Do you need to trailer a boat?

Trailer waiver required(Required)

Please complete waiver and email a signed copy to Amber Mrnak at amrnak@wisc.edu. Waiver: https://bit.ly/3cODPaL

Yes - I have emailed waiver

No - I will send email at later date

Tug Juday Conference Room

Will you need the Tug Juday Conference Room?(Required)

Yes

How many people will be using the conference room? (Max persons: 60)(Required)

Equipment needed:(Required)

Laptop

Projector

Screen

Flip chart with markers

None

Other (please specify)

Other equipment needed:

Furniture layout options(Required)

Lecture

Classroom

Herringbone

Square

Conference

U-shaped

Other (Please specify)

Other furniture needs:

What else would you like us to know or ask about the Tug Juday Conference Room?

Housing

Will you need housing?(Required)

Yes

How many will need housing?(Required)

Housing units will be allocated by TLS and the group leader will be responsible for assigning individuals to rooms. Housing in summer is very limited. Housing max in spring and fall is 47.

Are there any animal allergies we need to be aware of?(Required)

Yes

Specifically, what animal allergies are a concern for housing?(Required)

Is there anything else not addressed above that you want us to know? Please let us know if you had any problems with this Reservation Form.

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