Kitchen Request

Kitchen Request
Name of Event*
Date of the Event*

MonthDayYear
Date
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Estimated Number of People *
Set Up Date*

MonthDayYear
Date
Set Up Time*

Hour Minutes

AM/PM Option
Kitchen Choice*

CLC KitchenStaff Kitchen
Items Needed

Dinner, Disposable PlatesSmall, Disposable Dessert PlatesPlastic UtensilsPlastic Cups 8 ouncePlastic Cups 16 ounceSalt & Pepper ShakersDrink Dispensers (Note quantity in notes below)Coffee Carafes (Qty Below)Disposable Aluminum Pans (Full)Disposable Aluminum Pans (Half)GlasswareChinaSilverwareCoffee cups & saucersIce BucketsChafing Trays and Burners
Plates, cups, utensils quantity will be based on estimated number of people above. Indicate Quantities for any other things above (Drink dispensers, carafes, aluminum pans, ice buckets, chafing trays):
Kitchen Equipment to be Used:

Gas Stove & OvenConvection OvenWarming UnitDishwasherMicrowaveRefrigeratorIce MachineFreezer
Responsible Person in Charge: *

First NameLast Name
The responsible person needs to remain at the event for its entirety. I, the person responsible for the event, affirm that I have read the Kitchen Policies and Procedures and agree to abide by them.

I agree to
- Take out all trash
- Take towels & aprons to be washed & return
- Return any serving spoons/tongs to the proper drawer
- Leave the kitchen in a neat & clean state.
Signature*

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Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Should be Empty: