Customized Program Request Form
Thank you for your interest in bringing your group to The Ohio State University to work with the Community Programs students and staff. We are very glad to have you join us.

Please complete this form so that we can determine if we can set up a program with your group. Please note that not all requests may be able to be granted without modification. Also note that for each session completed with our staff you will be charged $45/hour/instructor. The number of instructors needed for a program varies based on the number of staff provided on your group's end as well as the number of participants. It is up to the discretion of the ARS Coordinator how many OSU Rec Sports staff will be required. There may be additional fees for programs that we must outsource for additional staff such as Rock Climbing.

Within 2 week of completing this form, you will receive a copy of our current Memorandum of Understanding (MoU) to complete before we will schedule your program. Once the MoU has been completed and approved, you will receive an email from one of our staff with your confirmed schedule. You may be contacted before this time frame with alternative options in case the space that you requested is not available. Please note that the completion of this form does not guarantee a program. The second choice dates, times, and activities section of this form are included in an attempt to minimize these request denials.

If you have any questions regarding this system, your reservation, or anything else related to Customized Programs, please contact Community Programs via email at agegroup@osu.edu or our office number 614.688.8787.

Group Name
Your answer
Primary Contact Name
Your answer
Primary Contact Phone Number
Your answer
Primary Contact Email Address
Your answer
Secondary Contact Name
Your answer
Secondary Contact Phone Number
Your answer
Secondary Contact Email Address
Your answer
Date(s) and Time(s) Requested
Your answer
Second Choice Date(s) and Time(s)
Your answer
Preferred Program Activity
Your answer
Second Choice Program Activity
Your answer
Additional Concerns or Needs
Your answer
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