Room Rental Request Form
Form to request meeting or event space at El Centro de la Raza.
Name of your organization
Your answer
Description of Organization
Your answer
Contact Name
Your answer
Contact Phone Number
Your answer
Contact Address
Your answer
E-Mail Address
Your answer
Title of your event
Your answer
Description of your event
Your answer
Date(s) of your Event
MM
/
DD
/
YYYY
Start Time of Your Event
Time
:
End Time of Your Event
Time
:
Expected Number of People
Your answer
Time Begin Set-up
Time
:
Time Clean-Up Ends
Time
:
Will an extra room be needed for childcare?
Will food be served?
Number of adults expected to attend?
Your answer
Number of Children expected to attend?
Your answer
Number of tables needed?
Your answer
Number of Chairs needed?
Your answer
Do you expect shared involvement of El Centro de la Raza in this event?
How will you publicize this event?
Your answer
To how many people will you publicize this event?
Your answer
Have you ever had an event here?
If yes, what type of event was it?
Your answer
If yes, date of last event?
MM
/
DD
/
YYYY
Where did you hear about us?
Your answer
If a staff member referred you to the Facilities Office in another one of our departments, what is their name?
Your answer
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