Family Room Request
Full Name of Person Requesting Room
Phone Number of Person Requesting Room
Email of Person Requesting Room
Date of Event
Start Time of Event
End Time of Event
Please check if you are flexible on the date, start and/or end times of the event
Number of People Attending the Event
More than 20
Giddings Avenue Campus
Haven Drive Campus
Pine Drive Campus (Oostburg)
Type of Event
What type of event will be held in the room? (e.g., birthday party, family get together, etc.)
Other (please explain in Additional Info)
Any additional information that might be helpful in selecting a room for your event
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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