Qualtrics Survey | Qualtrics Experience Management

First Name:

Last Name:

Campus Email:
(other email if you are not current LU student/staff/faculty)

I am a:

Student
Staff/Faculty member
Community member

I am representing:
(e.g. Name of Department, Student Organization, Community Organization, etc.)

Event Name:

Date of Event:

Brief Event Description:

Start Time - End Time of Event:

Timeframe request for mascot to be present:
(e.g. Entire event, ____ to ____, etc.) Please note: The maximum time for any one appearance is two hours, unless special circumstances are approved.

Event Location:
Please note: Mascot may not perform at outdoor events during inclement weather (snow, rain, excessive heat, etc.).

Please select the attire you would like Blu (the mascot) to be wearing:

I have no preference
Other

Mascot's role at the engagement:
(e.g. Greeter at event entrance, Walk around & socialize, Photobooth with students, social media promotion, high fives, etc.)

Check and Initial the following:

I understand that the Office of SEAL is in no way liable for any injuries or damage sustained as a result of Blu appearing at this event.
I understand that a private and secure changing room may be requested, if the engagement is not hosted in Warch Campus Center (A public restroom is not acceptable).
I understand that parking must be provided for the mascot / handler at all events that require travel off-campus. (If applicable)
I understand that payment for the mascot appearance is due within 1 week of event. (Non-University related events)