Esports Console Reservation Request Form

Please fill out this form at least a week in advance of the desired reservation date.
Please be aware that submission of this form does NOT guarantee a reservation, and must be confirmed by the Coordinator of Campus Recreation.
The reservation will not be possible if there is a Wellness & Health Promotion event that needs to use the console.

First Name*

Last Name*

Student ID (EMPL) Number*

Enter your 7-digit ID number

Contact Phone Number*

Enter the best phone number to reach you regarding this reservation.

Contact Email*

Enter the best email to reach you regarding this reservation.

Affiliation*

Choose the affiliation that most closely describes you.

Group Name*

Name of the group that will be using the console.

Day and Time Console Needed*

Please select the day and time the console should be delivered.

Day and Time Event Ends*

List the time that the event is planned to end.

Number of Expected Users*

Please list a general estimation of the number of users expected at the event.

System(s) Requested*

Please select the system or systems requested.

Please select the game(s) you plan to play during this event.*

Choose the game(s) you would play during the event.

Other game desired not listed above:

If your game(s) is not listed above, please write it here.

Type/Number of Controllers Needed*

Please list the type and number of controllers needed.

Other Comments/Requests

Please list any other details that we would need to know to complete your request.

Please read the entire statement below and click the checkbox to acknowledge:

The console listed above is for use by the undersigned to facilitate a program/event for primarily UND Students/Faculty/Staff. The undersigned agrees that the equipment they rent will remain the property of the UND Wellness & Health Promotion department.

All equipment must be returned on the return date listed above at least one hour prior to the Wellness Center closing. A charge will be assessed each day that the equipment is late. If the equipment is not returned within one week after the return date, the renter will be charged the total amount of additional day fees for one week and the replacement cost of the equipment.

The renter agrees to pay the replacement cost of the equipment if it is lost or materially damaged by an in-person payment to the Wellness Center Welcome Desk (cash, check, or card). Should the renter refuse to pay the replacement cost, the Wellness & Health Promotion department will issue a charge through Student Account Services. This would result in an open charge (hold) on your account, preventing multiple actions, including enrollment and graduation, among others.

Upon receipt and approval of the individual’s reservation request form and approval by the Coordinator of Campus Recreation, the console(s) and peripherals will be issued to the renter.

LATE FEE: $10/console (includes all related peripherals attached to that specific console)

REPLACEMENT/DAMAGE COSTS:

PlayStation 4 Console – $300
PS4 Controller – $50
Nintendo Switch Console – $300
Pair of JoyCon Controllers – $70

If only one of the L/R controller pair is missing, renter will be charged for the replacement cost of a pair.

JoyCon Charging Grip – $25
Switch Pro Controler – $60
USB-C Cord – $10
Mini-USB Cord – $10
HDMI Cord – $10
Game – $60

Applies to all games, physical and digital, regardless of current game market value.

Renter agrees, personally and on behalf of Renter’s assigns, heirs, and representatives, to waive any and all claims against, and to release, and forever discharge the University of North Dakota and its agents, officers, and employees from any and all claims or liability arising out of death, disability, personal injury, property damages, property theft, or claims of any nature which may hereafter accrue as a direct or indirect result of this agreement.

Renter agrees to defend, indemnify, and hold harmless the University of North Dakota, its agents, officers, and employees from and against any and all third-party claims of any nature, including all costs, expenses, and attorney’s fees, which in any manner result from this agreement.

By checking the box below, you are agreeing to the above statements. Please be aware that submission of this form does NOT guarantee a reservation, and must be confirmed by the Coordinator of Campus Recreation.

Agree

Esports Console Reservation Request Form

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