Family Room Request
Name *
Full Name of Person Requesting Room
Your answer
Resident's Name
(if applicable)
Your answer
Phone Number *
Phone Number of Person Requesting Room
Your answer
Email of Person Requesting Room
Your answer
Date of Event *
Start Time of Event *
End Time of Event *
Date/Time Flexibility
Please check if you are flexible on the date, start and/or end times of the event
Number of People Attending the Event *
Event Location *
Type of Event *
What type of event will be held in the room? (e.g., birthday party, family get together, etc.)
Additional Info
Any additional information that might be helpful in selecting a room for your event
Your answer
Please note: rooms are not automatically booked when this form is submitted. A Pine Haven representative will contact you using the contact information you provided to discuss your room needs and set up your reservation. That representative will advise you when your reservation is confirmed.
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