Key Request Form

If you have any questions prior to filling out the form, please contact Rick Endres at endresr@xavier.edu.

 

I understand that any key is the property of Xavier University Department of Music & Theatre and I am responsible for the key(s). I agree to keep possession of the key(s) to their respective room(s) and to only use the room(s) for the purpose of practicing music. I understand that my deposit of $100.00 will be refunded upon returning the key(s) to the Music & Theatre Department.

I also understand that I must receive authorization from a faculty member to use the requested room(s). A statement of authorization must be turned into Edgecliff Room 105 prior to finalization of key request.

All keys must be returned at the end of each semester.

Name *

Address *

Phone *

Room use needs to be authorized by faculty member