Accommodation Request Form 2022-2023


(* all fields are required)

Accommodation Information

*Number of guests: I am inquiring on behalf of a Group of 10+people (group rates)
*Date of Arrival: *Time of Arrival:
*Date of Departure: *Time of Departure:
Special Requests:
Method of Payment: Credit Card in Advance Debit Card/Cash on Arrival

Contact Information

*Last Name *First Name:
*Email Address:
*Billing Address: *Phone Number:
*City: *Province/State:
*Postal Code/Zip Code:
Gender: male female I am a student requiring accommodations for 29 days or less

Room Selection

Please indicate the # of rooms requested in the corresponding Box
Complimentary WiFi, basic toiletries, towels, and linens are included.

Dorm with Private Washroom - Each dorm offers you a private bedroom space and washroom with stand-up shower. Includes a single bed, closet, dresser, desk and chair. Does not include a TV or fridge. Sleeps a maximum of one guest.
Dorm with Shared Washroom - Each shared dorm offers your own private bedroom space and a shared washroom between two dorm rooms. It comes equipped with a single bed, closet, dresser, desk and chair as well as a stand-up shower in the shared washroom. Sleeps a maximum of one guest
Deluxe Suite - Each of our deluxe suite offers your own private bedroom space, washroom between sides, with the living space on the other side. It comes equipped with a double bed, closet, dresser, desk and chair as well as a bath tub shower in the shared washroom. Sleeps a maximum of two guest

Please send me additional information on:
Meal Plans
Kitchen Kit (if apartment)
Parking		 TV
Other (Please Specify):
  • Hospitality Services will respond to your request once we have reviewed your information and verified availability, sending you pricing information, along with any other information you request.
  • This form is not a guarantee of accommodations. We will follow up with a contract if we have availability which details cancellation.
  • Full payment will be required prior to arrival when possible. Arrangements for payment upon check-in must arranged with Hospitality Services prior to arrival.
  • Check-in time is 3:00 pm. Check-out time is 11:00 am.
  • Changes made 48 hours before check-in will be subject to $25 administration fee per change.

The U of R collects information under authority of The University of Regina Act in accordance with the Local Authority Freedom of Information & Protection of Privacy Act and the Personal Information Protection & Electronic Documents Act for purposes of enrolment, academic status, and administration of programs/services. By submitting this form, you consent to the use your personal information for communication purposes and confirmation of short-term/event booking by the University of Regina Hospitality Services Department.