The Cultural Center Reservation Request Form
Approval of reservation requests are contingent upon availability of space and availability of Cultural Center staff member. Reservation request forms must be submitted at least two full weeks prior to event. In order to reserve The Cultural Center for a meeting or event, the mission of organization or the purpose of the event must be aligned with the mission of The Cultural Center.

The MISSION of THE CULTURAL CENTER is to raise consciousness and stimulate dialogue about: race, culture, ethnicity, immigration status, socioeconomic status, gender identity, gender expression, sexual orientation, age, spirituality, ability, and the intersections thereof. The center is committed to understanding and critiquing systems of oppression and privilege for the purpose of achieving greater unity and equity. By being a space that recognizes and celebrates the differences that exist amongst human beings and honors the intersections of our identities, The Cultural Center has the capacity to deepen relationships between groups with diverse life experiences and perspectives, thereby fulfilling Napa Valley College’s mission to prepare students for a “diverse, dynamic, and interdependent world” and its values of “inclusivity,” “openness to new ideas,” and “respect for others.”

Please fill out the form below:
------------------------About your event------------------------
Please provide the title of your event. *
Your answer
Please provide a description of your event. *
Your answer
Please describe how your event is aligned with the mission of The Cultural Center. The Mission is at the top of this page. *
Your answer
Date you would like to use The Cultural Center *
MM
/
DD
/
YYYY
Start Time *
Time
:
End Time *
Time
:
Is this a recurring event (i.e. monthly meetings, etc.)? *
Tell us more about your recurring event...
Your answer
Technology Needs: Please check on any of the following that you may need for your event
Is this a private event? 
(Checking yes indicates that you are requesting that The Cultural Center be closed to other visitors during your meeting/event.) Y/N
Will you be serving food at your event? Y/N (Checking yes indicates that you will be responsible for set-up and clean-up.)
------------------------About you------------------------
Your First/Preferred Name *
Your answer
Your Last Name *
Your answer
The best Email to reach you at *
Your answer
The best phone number to reach you at *
Your answer
Is this phone number your...
What is the best way to contact you? *
------------------------About your organization-----------------------
Please mark the box that is applicable: *
Required
Organization Name (if this is just for you, and there is no organizational affiliation, note it here) *
Your answer
Organization Advisor/Supervisor/Leader
Your answer
Department if applicable
Your answer
Who is the Primary Contact for this event? (This person will be sent the confirmation emails for the reservation request, and will be the primary contact for the event.)



 *
If you chose "someone other than me" above, you must fill out the following
Primary Contact First / Preferred Name
Your answer
Primary Contact Last Name
Your answer
Primary Contact Email:
Your answer
Primary Contact's Best Phone Number
Your answer
This phone number is the Primary Contact's ....
Anything else we should know that we forgot to ask you about?
Your answer
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