UVA Facility Rental - General Event Inquiry Form
Thank you for your interest in hosting your event at Umpqua Valley Arts!
Point of Contact for the Event
*
First Name
Last Name
Main Point of Contact the Day of Your Event
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
First Choice Date for Your Event
*
-
Month
-
Day
Year
Date
Second Choice Date
-
Month
-
Day
Year
Date
What Type of Event are You Holding
Celebration of Life
Birthday Party
Retirement Party
Corporate Party
Family Reunion
Bridal Shower
Baby Shower
Holiday Party
Graduation Celebration
Meeting
Other
Please give a brief description of your event and what the space will be used for and/or space you were interested in
How many guests do you plan to have at your event?
*
What are the hours guests will be attending your event?
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
What hours do you need access to the building for set up and clean up?
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Do you plan on utilizing the lawn space?
Yes
No
Are you using an event planner for your event?
If YES, name:
Will you be serving food at your event?
Yes
No
Will your event be catered?
Yes
No
If Yes, Name of your caterer for the event:
What other vendors, if any, do you plan on using for your event?
Will you be serving alcohol at your event?
Yes
No
Submit Form
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