Building Use – Room Reservations
Important! Please read our Building Use Policy and Facility Fee Schedule before requesting facilities.

A PDF version of this form is available here.

Request to Schedule Room
*required information
Building Use Information
*Event contact person:
*Email:
*Primary phone:
*Secondary phone:
*Requested by:

*Event Name:
*Event Purpose:
*Requested date(s):
 From:(MM/DD/YYYY)
To:(MM/DD/YYYY)
*Reserve set-up time:
*Event time:
 From:(time)
To: (time)
*Room(s) requested:
Room arrangement:
(describe needs)
*Number expected:
 *Number of Chairs: *Number of Tables:
(Set-up and take-down of tables/chairs will be done by custodial staff only)
* Will event need child care? (church groups) Yes: No:
Kitchen Use
*Will event need kitchen access? Yes: No:
         (If yes, please note Kitchen Use Fee Schedule)
Check to request the use of the following items:
Coffee Pots Table Service Trays Carafes & Pitchers Carts Punch Bowl
Roasters White Refrigerator Microwaves
Equipment Needed
TV/VCR Slide Projector Overhead Projector Screen Sound System,
Other:

*I have read and agree to the provisions laid out in the Building Use Policy and Facility Fee Schedule and agree to abide by its provisions.
*Today's date:
 (MM/DD/YYYY)


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