CALENDAR REQUEST FOR ROOM USE FORM
Date Submitted:
Date Requested:
Requested by:
Series of dates (From - To):
Day or Days of the Week:
Location(s) Requested:
Location(s) requested (2nd choice):
Event Start Time:
Event End Time:
Do you need extra set-up time? If so, how much? (i.e. hours/minutes)
How many people will you be accommodating?
Who will be responsible for cleaning?
Name of Event
Contact person(s)
Phone Number:
E-mail:
Will you need access to the kitchen? (Please note that separate clean-up fees may apply.)
Yes
No
Audio/Visual Equipment needs: