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CGNE Facility Use Application
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* Indicates required question
Name:
*
Your answer
Primary Phone:
*
Your answer
Email:
*
Your answer
Event Name:
*
Your answer
Event Description:
*
Your answer
Event start date:
*
MM
/
DD
/
YYYY
Event start time:
*
Time
:
AM
PM
Room reservation start time (for set-up):
*
Time
:
AM
PM
Event end date:
*
MM
/
DD
/
YYYY
Event end time:
*
Time
:
AM
PM
Room reservation end time (for clean-up):
*
Time
:
AM
PM
Is this a recurring event?
*
Yes
No
If recurring, please specify recurrence:
Your answer
Expected attendance:
*
Your answer
Rooms requested:
*
Your answer
Will food and/or beverages be served?
*
Yes
No
Required
Will childcare be provided?
*
Yes
No
Will you need attendees to register?
*
Yes
No
Will you want this event promoted at CGNE?
*
Yes
No
Are there any IT or Audio/Visual needs?
*
Your answer
Additional needs/requests:
Your answer
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