Meeting & Program Room Request Form
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Today's Date: *
MM
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DD
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YYYY
Date of room request: *
MM
/
DD
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YYYY
Please select room desired: *
Time requested (please refer to our open hours when making your request): *
Length of meeting / program: *
Organization Name: *
Applicant Name and Position: *
Contact number: *
Contact email: *
Type of meeting (please be as detailed as possible): *
Any Special Requirements or AV Equipment needed? (please be specific): *
Description of room setup (Note: parties are responsible for both setup and breakdown of any furniture used): *
Expected Attendance (max capacity 50): *
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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