OUTSIDE EVENT / FACILITY REQUEST

Please note that completion of this form does not guarantee the use of the building. We will contact you within a week after submission of the form to discuss if the building is available on the dates you request and to go over building usage guidelines and rates.

Name

Contact person for event

First Name

Last Name

Phone

(###)

###

####

Briefly describe the event requesting use of the facility

What is the primary purpose of the event?

How many people do you estimate will attend the event?

What date(s) are you requesting?

Arrival/setup time

Please indicate when you want the building reserved for you on the day of the event (when will the first person arrive). If you are requesting the ability to setup prior to the day of the event, please indicate that below.

Event start time

Hour

Minute

Second

Event end time

Hour

Minute

Second

Will you need use of any A/V equipment?

check all that apply

Sound

Microphones

Projector (video or slides)

Lights

Which room(s) are you requesting?

If you know specific rooms you would like to request, please check all that apply. Note that a request doesn't guarantee that space will be available.

Building B

Auditorium

Room 9/10

Kids classrooms

Other

Are you requesting any room setup from facilities staff? (tables, chairs, etc.)

Are you wanting to have food or coffee at your event?

Food is not permitted in the auditorium. If an event is requesting the auditorium with food you may be asked to use building B or the meal portion of the event may take place in a separate space.

Other requests or notes

Is there anything else you'd like us to know?