Meeting & Program Room Request Form
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Today's Date:
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MM
/
DD
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YYYY
Date of room request:
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MM
/
DD
/
YYYY
Please select room desired:
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Choose
Program Room (max capacity: 50)
Time requested (please refer to our open hours when making your request):
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Choose
10:00 am
10:30 am
11:00 am
11:30 am
12:00 pm
12:30 pm
1:00 pm
1:30 pm
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
Length of meeting / program:
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Your answer
Organization Name:
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Your answer
Applicant Name and Position:
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Your answer
Contact number:
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Your answer
Contact email:
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Your answer
Type of meeting (please be as detailed as possible):
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Your answer
Any Special Requirements or AV Equipment needed? (please be specific):
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Your answer
Description of room setup (Note: parties are responsible for both setup and breakdown of any furniture used):
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Chairs only, theater style
Chairs and tables, classroom style
Chairs and tables, U configuration
Other:
Expected Attendance (max capacity 50):
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Your answer
GUIDELINES FOR PROGRAM ROOM USE:
- Masks covering both mouth and nose are required for all attendees
- Parties are responsible for complete setup and breakdown of tables and chairs
- No food or refreshments
- Attendance is limited to a maximum of 50
I understand and accept these room use guidelines, and take responsibility for ensuring all participants are aware of and will follow these guidelines:
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