Room Request

Please reference the Facility Calendar prior to filling out this form to make sure you are requesting an open date and time slot for the desired room.

View the Facility Layout Diagram to ensure you request the room/area you desire. If your request is approved, you will need to print, sign and deliver the Facility Usage Guidelines before using the room. Finally, for your safety and for the security and wise stewardship of our facility, familiarize yourself with the Facility Shutdown Procedures.

Room Requested (*)
Invalid Input: Room requested
Name of event (*)
Please enter: Name of Event
Purpose of the event (*)
Please enter: Purpose of the event
Event date (*)
Please enter: Event date
Repeats (*)
Invalid Input
Date of last repeating meeting
Invalid Input: Date of last repeating meeting
Event start time (including setup) (*)
Please enter: Event start time
Event end time (including clean-up) (*)
Please enter: Event end time
Furniture/Equipment needed
Invalid Input: Furniture or Equipment needed
Contact person (*)
Please enter: Contact person
Email (*)
Please enter: Email
Contact number
Invalid Input: Contact number
Alternate contact number
Invalid Input: Alternate contact number
 I have read and will comply with the Facility Usage Guidelines and have familiarized myself with the Facility Shutdown Procedures.
You must check the box above