Facility Usage Request

Organization Name:*

Event Coordinator Contact Information:

Name:*

First Last

Cell Phone Number:*

Email Address:*

Date of Event:*

Requested Venue:*

Event Description:*

Setup/Prep Time*

:

Event Start Time:*

:

Event Conclusion Time:*

:

Cleanup End Time:*

:

Number of Expected Guests:*

Do you need tables?*

Do you need chairs?*

Do you need a sound system?*

Do you need locker room access?*

Do you need a video board?*

Will you be using concessions?*

Will you be charging entry?*