CalerieHealth™ Meeting Room Reservation
Until this form has been submitted to CalerieHealth™ and the reservation has been confirmed, your meeting room reservation is NOT booked or reserved.

CalerieHealth™ will be the final authority in granting or refusing permission to use the meeting room.

Due to COVID-19 Pandemic, for your safety, food and alcoholic beverages are not available.
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Group Name *
Purpose of Meeting *
Date of Meeting *
Start Time of Meeting *
Finish Time of Meeting *
Anticipated Attendance *
Person Responsible for the Meeting Room *
CalerieHealth™ Account ID *
Address *
Phone Number *
Email *
Equipment (check desired equipment)
You must reserve use of the equipment at the time of registration
Special Requests & Preferences
The undersigned agrees on behalf of the above-named organization to be
1) Responsible for any damage sustained to the meeting rooms of CalerieHealth™ while being used by the organization.
2) To follow all rules and regulations as set forth in the policy and procedures of CalerieHealth™.
3) To leave the room neat and orderly.
4) CalerieHealth™ is not responsible for any damage, lost or theft of equipment, merchandise or guest personal belongings.
Signature of Responsible Party *
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