Event Facility Request
Contact Details
Name of person in charge of Event:
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
Format: (000) 000-0000.
Email:
example@example.com
Event Details
Type of Event
Please Select
Baby Shower
Birthday Celebration
Funeral Repast
Small Organization Event/Meeting
Large Organization Event/Meeting
Wedding Without Reception
Wedding With Reception
Church Conferences
Number of Guest(s) Expected:
Date of Event:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Event Starts:
Hour Minutes
AM
PM
AM/PM Option
Time of Event Ends:
Hour Minutes
AM
PM
AM/PM Option
Setup Time:
Hour Minutes
AM
PM
AM/PM Option
Breakdown Time:
Hour Minutes
AM
PM
AM/PM Option
Do you need sound?
Yes
No
Will there be an Admission/Registration charged?
Yes
No
Confirmation of the Request:
Printed Name:
Renter's Signature:
*
Date of Signature:
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: