Room Reservation Request Form
Please note this is a request only. We will contact you with your reservation status.
Today's Date: *
(mm/dd/yyyy)
Your answer
Group Name: *
Your answer
Group Contact: *
First & Last Name
Your answer
Phone: *
xxx-xxx-xxxx
Your answer
Email Address: *
Your answer
Event Name: *
Your answer
Beginning Event Date: *
(mm/dd/yyyy)
Your answer
Ending Event Date: *
(mm/dd/yyyy)
Your answer
Event Day(s): *
Please check all that apply.
Required
Is this a recurring event? *
Recurring Frequency: *
Event Starting Time: *
Must be between the hours of 9am-6pm (M-Th) and 9am-3pm (F)
Time
:
Event Ending Time: *
Must be between the hours of 9am-6pm (M, W-Th) and 9am-9pm (Tu)
Time
:
Setup Time Needed: *
Number of Tables: *
(round or rectangular tables)
Your answer
Number of Chairs: *
Your answer
Setup Format: *
Brief Explanation of Request: *
(Event, Nature of Meeting, etc.)
Your answer
Have you read the Facility Usage Agreement? *
Required
Additional Comments:
Your answer
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