Revised January 22, 2015
OMEGA PSI PHI FRATERNITY, INC.
SPECIAL EVENT CHECKLIST
PLEASE TYPE OR PRINT LEGIBLY
Chapter Number: _______ Graduate
Purpose of Event:
Location of Event (Venue Name): _________________
Physical Address (No P. O. Box):
*Venue Contact Name(s): ______________________________________________________________
*Phone No.: _________________
Fax No: __________________ *E-Mail:________________________
*Must Be Provided-No Exceptions!
EVENT ACTIVITIES (All Undergraduate Chapters events must be Non-Alcoholic)
Type of event and details:
Athletic Event? Yes
If yes, waivers are needed for each participant.
Will special event attendees be transported to event?
If yes, list name and address of third party transportation vendor. (Attach copy of contract)
1. Event Chairman:
Phone #: ______________
2. Is there a co-sponsor?
If Yes, who? _____________________________________
Does the co-sponsor have insurance? Yes
Note: If your chapter’s 501c(3) foundation contracts with the venue for named event, list your foundation as
co-sponsor of the event.
3. Planned Attendance: _______________
4. Will there be a special construction, alterations or decorations for this event?
If yes explain: __________________________________________________________________
5. Has this event been held in the past? Yes
How many times? ____________
* Required Signatures – Checklist will be returned and not processed if all required signatures are not listed.