You can always press Enter⏎ to continue
Welcome
Interested in using our space for your next event? Please complete the following form to apply to host an event at Flour Bloom, 103 NE Grand Ave., Portland, OR 97232.
14
Questions
START
1
Event Coordinator/Point of Contact
*
This field is required.
Who will be coordinating the event? Whether it's someone specific or yourself, please provide the name and contact information so we can reach out with further details or questions.
First Name
Last Name
Please enter your email
Please enter your phone
Previous
Next
Submit
Press
Enter
2
Acknowledgment of Self-Provided Amenities
*
This field is required.
Please confirm that you, the host, are aware of this and agree that you will be responsible for providing the decorations, themed items, dining ware, and any other unique equipment for your event. Our space provides the canvas for your event, while you bring your vision to life within it.
Check 'Yes' to acknowledge and agree, or 'No' if you have further questions about this policy.
YES
NO
Previous
Next
Submit
Press
Enter
3
Name of the Event
*
This field is required.
Please enter the official title of your event.
Previous
Next
Submit
Press
Enter
4
Event Description
*
This field is required.
Describe the nature of your event, including any key themes or the atmosphere you're aiming to create.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
5
Type of Event
*
This field is required.
Select the category that best fits your event. This helps us understand the general setup required.
Fundraisers or Charity Events
Pop-Up Shops
Game Night (e.g. Trivia)
Performance or Concert (e.g. Open Mic Night)
Birthday Party
Wedding Reception
Workshops/Seminars
Baby Shower
Anniversary Celebration
Corporate Event
Networking Events
Art Exhibitions
Private Dinners or Banquets
Holiday Parties
Product Launches
Other
Previous
Next
Submit
Press
Enter
6
'Other' Event Type Specification
*
This field is required.
If your event doesn't fit the listed categories, please specify the type of event here or type NA.
Previous
Next
Submit
Press
Enter
7
Date of the Event
*
This field is required.
Enter the date you're considering for your event.
Note:
If your dates are flexible, please let us know in the 'Additional Information' section at the end of the survey.
-
Date
Month
Day
Year
Previous
Next
Submit
Press
Enter
8
What time will your event be held?
*
This field is required.
Tell us what time your event will start & end. This helps with scheduling and staffing.
1
2
3
4
5
6
7
8
9
10
11
12
5
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
00
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
PM
AM
PM
Until
1
2
3
4
5
6
7
8
9
10
11
12
5
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
00
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
PM
AM
PM
Previous
Next
Submit
Press
Enter
9
Estimated Number of Guests
*
This field is required.
An estimate helps us ensure the space meets your needs in terms of size and capacity (
70 people max
).
Previous
Next
Submit
Press
Enter
10
Start Time
*
This field is required.
Tell us what time your event will start. This helps with scheduling and staffing.
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
PM
AM
PM
Previous
Next
Submit
Press
Enter
11
Will You Require Catering Services?
*
This field is required.
Select 'Yes' if you intend to have your event catered or 'No' if not.
Note:
No outside food or beverages are allowed
.
Yes
No
Previous
Next
Submit
Press
Enter
12
If you answered "Yes" to Catering
Please answer the following questions to help us get a little more information:
Please provide some brief details about your catering needs.
Dietary restrictions or special requests?
Budget for catering services?
Previous
Next
Submit
Press
Enter
13
Audio/Visual Equipment Requirements
*
This field is required.
Please indicate if you plan to bring audio/visual equipment such as a projector, screen, or sound system for your event. This information helps us ensure compatibility with our space and prepare accordingly.
Note:
The host is responsible for providing all equipment. We do not supply audio/visual equipment.
'N/A' if this does not apply.
Previous
Next
Submit
Press
Enter
14
Furniture Setup
*
This field is required.
Describe any specific furniture arrangements you need, such as tables, chairs, or special setups.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
15
Special Requests or Additional Information
Please provide any additional requests or information that can help us prepare for your event.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
15
See All
Go Back
Submit