Private Screening Request Form for Kanab Theater

This form is to request a private screening in Kanab Theater. Please fill in the blanks below, following the instructions.

Kanab Theater

First Name

Last Name

Enter your UNID

Asia Campus Affiliation

Please select the date you want to reserve the Kanab Theater. (The private screening MUST be booked at least one week before the reservation date.)

Choose the start time of the reservation.

Choose the end time of the reservation.

Please describe the purpose of the private screening with complete details.

How many participants will attend?

If non-UAC members participate in the private screening, how many non-UAC members come? (if it's not applied, fill it with "no".)

Based on the Kanab Policy, do you agree to follow the policy and acknowledge that considering the purpose of the event, your request could be denied?

I agree

If you are human, leave this field blank.