|Sales| Locker Rental Request

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UCLA Recreation Locker Rental Request

For Payroll Deduction Locker rental requests, please submit this application: https://uclacampuslife.formstack.com/workflows/enrollha

LOCKER RENTAL COMMITMENT

I understand this is a locker rental request for the current quarter.
I understand discounts, extensions and refunds are not available for any locker rentals for any reason.
I understand that lockers can only be assigned to those members with an active Recreation membership or active student membership through student fees.
Locker assignments are on a first come, first serve basis based on this form submission time and date.

PURCHASING TERMS

I understand the Sales & Service Team will review requests within 3-5 business days. If approved, the Sales & Service Team will assign you a locker and you will be emailed instructions to purchase your assigned locker online.
I agree to submitting an online payment within 5 business days of locker assignment email or I am subject to losing my locker rental. Due to a high volume of requests, we cannot guarantee your locker after the 5 day payment deadline.
I understand that if I do not follow through with online payment for the locker assignments, I may be subject to a one quarter locker rental suspension and therefore not be eligible for a locker rental next quarter.

Please immediately email info@recreation.ucla.edu if you wish to cancel any locker rental requests to avoid locker suspensions.

Prior to submitting this request form, please review all LOCKER RENTAL POLICIES

I have read and agree to all the above locker rental policies and wish to proceed with my request.*

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Customer Name*

First Name*

Last Name*

Customer Daytime Phone Number*

Please provide a USA phone number, as we are unable to contact international phone numbers

Customer Email Address*

Customer University ID Number*

Please list Student ID, Employee ID, or Rec ID. Please type "unknown" if you need assistance finding this number.

Customer Mailing Address

Address Line 1

Address Line 2

City

State

ZIP Code

Current UCLA Campus Affiliation*

UCLA Undergraduate / Extension UCLA Graduate Student UCLA Faculty / Staff UCLA Emeriti / Retiree UCLA Alumni Household Adult of UCLA Student Household Adult of UCLA Faculty / Staff Household Adult of UCLA Emeriti / Retiree Household Adult of UCLA Alumni Community Member

Locker Rental Request

Have you enrolled in a Payroll Deduction (PRD) Membership and want to add on a locker to your request?*

Yes No

How many lockers are you requesting in total? (i.e. if requesting 1 locker in JWC and 1 locker in SCRC, please select 2 lockers)*

1 Locker 2 Lockers 3+ Lockers

IMPORTANT: 2nd and 3rd locker requests are not guaranteed. We will do our best to accommodate based on availability.

Requested Facility*

John Wooden Center (JWC) Sunset Canyon Recreation Center (SCRC) Student Activities Center (SAC)

(KREC SOLD OUT)

Preferred Locker Room*

Woman Man

Locker Preference - JWC*

Top Locker Bottom Locker No Preference

Locker Preference - SCRC*

Top Locker Middle Locker Bottom Locker No Preference

Locker Preference - KREC (LIMITED AVAILABILITY)

Top Locker Middle Locker (KREC Hallway only) Bottom Locker No Preference

Locker Preference - SAC*

Top Locker Bottom Locker No Preference

John Wooden Center Locker Room Map

JWC Locker Room for Women: https://recreation.ucla.edu/media/814

JWC Locker Room for Men: https://recreation.ucla.edu/media/813

PREFERENCE 1: John Wooden Center Zone - Woman*

Zone A Zone B Zone C Zone D Zone E Zone F Zone G

https://recreation.ucla.edu/media/814

PREFERENCE 2: John Wooden Center Zone - Woman*

Zone A Zone B Zone C Zone D Zone E Zone F Zone G

https://recreation.ucla.edu/media/814

PREFERENCE 1: John Wooden Center Zone - Man*

Zone A Zone B Zone C Zone D Zone E Zone F Zone G

https://recreation.ucla.edu/media/813

PREFERENCE 2: John Wooden Center Zone - Man*

Zone A Zone B Zone C Zone D Zone E Zone F Zone G

https://recreation.ucla.edu/media/813

PREFERENCE 1: KREC ZONE

Hallway

Limited number of lockers available.

PREFERENCE 2: KREC ZONE

Hallway

Limited number of lockers available.

Optional: Specify any locker preferences here. PLEASE NOTE: Lockers are NOT guaranteed, and Recreation will assign based on availability of lockers.

I am committed to purchasing my locker rental within 5 business days. I understand I may not be eligible for a locker rental next quarter if I do not follow through with the payment. I understand I need to cancel via email if I no longer want this locker rental to avoid rental suspensions in the future. Please sign below and submit this request.*

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Date/Time

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Month

Day

Year

Hour

Minute

AM/PM

Step 2: Sales Team Assigns Locker

Staff Name*

First Name*

Last Name*

Action Item*

Assigned locker(s) Cancelling request

Notes on Locker Rental

Date/Time

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Month

Day

Year

Hour

Minute

AM/PM