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Barkas Lounge Reservation Form
This is a form for reserving Barkas Lounge (PHYS 3049).
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* Indicates required question
Barkas Lounge (PHYS 3049)
Briefly state the reason for the reservation
*
Your answer
What is your name?
*
Your answer
What is your email address? (UCR Email Address is preferred)
Your answer
What is your standing?
Faculty
Staff
Graduate Student
Undergraduate Student
Other:
Clear selection
When would you like to use this room?
*
MM
/
DD
/
YYYY
Check-in time
*
Time
:
AM
PM
Check-out time
*
Time
:
AM
PM
Submit
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