Facility Usage Request

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Facility Usage Request

Please fill out the following form.

A member of our staff will get back with you for approval.

Name *

First Name

Middle

Last Name

Activity *

Phone Number*

E-Mail*

Event Date*

Event Start Time*

Event End Time*

Set Up Start Time*

Clean Up End Time*

Rooms Requested *

Auditorium
Welcome Area
Atrium
Kitchen
Class Room
Other:

Equipment Requested *

Round Tables
Chairs
Podium
Easel
Other:

A/V Equipment Requested *

Sound System
Microphones
TV/ DVD
Projector