Gym and Music Room Key Card Access Request Form

Instructions Please indicate which rooms you would like to request for keycard access.

Apart from filling in this form, if you are requesting gym room access, you will also need to sign the waiver form, found here. After signing it, hand it to Michael (in person or by sliding the form under his door). Only after receiving a waiver form will he process gym room requests.

Your MIT ID card will be activated to enter 24 to 48 hours after submitting your request.
Room Access Requested *
Please check the rooms that you are requesting access for.Gym RoomMusic Room
First name *
Last name *
MIT Email *
Floor *
Apartment *
Unit *
Unit *
Unit *
Reminder: Have you printed and signed the waiver form? *
The waiver form can be found here. Note that your request will only be processed after Michael receives a signed waiver form.Yes