Facility Use Request
Complete this form. It will automatically notify COP Support Staff of your request.

Completing this form does not guarantee a space is reserved. The cost to reserve a room varies by non-profit status, length and time of reservation and size of room needed.

You will receive a confirmation email once a room has been reserved, and any room use fees will be shared with you at that time.
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Email *
Title of Workshop / Event *
Date of Session *
MM
/
DD
/
YYYY
If multiple days/dates - list them here
Start Time of session *
Time
:
End Time of session *
Time
:
Contact Person/Cell Phone/Email address *
Presenter Name/Cell Phone/Email address *
Handouts/Materials will be provided by Presenter *
Number of Participants *
Target Audience *
Cost for Participants
Registration on Wisdomwhere *
Session Description - Please be specific as this will be the narrative on the registration site (Wisdomwhere). *
If on Wisdomewhere, provide a "Category" (e.g. Literacy, Curriculum, Technology...) *
Please choose preferred registration option:
Clear selection
Food / Beverage Request *
Coffee/pop/water ONLY ($5 per person)
Lunch - includes beverages. ($15 per person)
No Food or beverages
Check all that apply
Indicate dietary restrictions here:
Equipment Requested - select all that apply *
Required
Applying for SCECHs? *
A copy of your responses will be emailed to the address you provided.
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