• Conference and Education Center Request

  • This form is for requesting classroom or meeting space at the Old Dominion EMS Alliance's Conference and Education Center located at 7818 E. Parham Road, Suite 911 (Basement), Henrico, VA 23294.

    To proceed, please click the "Next" button. 

  • Section 1 – Contact Information

    Tell us who is making this reservation.
  • Your Agency / Organization*
  • Format: 1 (000) 000-0000.

  • Section 2 – Purpose & Setup

    Help us prepare the room for your event.
  • Select the number of days in succession you require. If multiple days are needed and there is a day(s) off between one to the next then you MUST complete a separate request.*
  • What areas would you like to reserve?*

  • Section 3 – Reservation Details

    Please verify the dates and times you need are listed below.
  • First Day*
     / /
  • Second Day
     / /
  • Third Day
     / /
  • Fourth Day
     / /
  • Fifth Day
     / /

  • Section 4 – Equipment & Technology

    Let us know if you need AV or other equipment.

  • Important Note:
    If this is your first time using our facility — or if you have changed computers since your last visit — please schedule a time to come by the office in advance to ensure your equipment works properly with our setup.

    After your reservation request has been approved, please contact our office to arrange this appointment.

  • Select one or more items needed for your requested date(s).*
  • Do you require training equipment for your reservation?*

  •  NOTE:

    If you require training equipment, please use our Lending Library to reserve any items you need. Equipment reservations should not be placed more than three (3) weeks before the first date of your reservation.

    👉 Click here to access the Lending Library (opens in a new tab).

    Please return to this page to complete your facility reservation request.

  • Please confirm the following information before submitting your request.

    Your Agency / Organization: {yourAgency}
    Department: {department}
    Primary Contact Name: {primaryContact}
    Role / Title: {role}
    Phone Number: {phoneNumber}
    Email: {email}

    Short Description of Request: {shortDescription}

    Expected Attendance:     {expectedAttendance}

    What areas would you like to reserve?:
    {whatAreas}

    Room Configuration Requested:
    {typeA}

    Day 1: {firstDay} - From {firstDay25} to {firstDay26}
    Day 2: {secondDay} - From {secondDay32} to {secondDay33}
    Day 3: {thirdDay} - From {thirdDay36} to {thirdDay37}
    Day 4: {fourthDay} - From {fourthDay40} to {fourthDay41}
    Day 5: {fifthDay} - From {fifthDay44} to {fifthDay45}

    AV Equipment Requested: {selectOne}

  • Last Day
     - -
  • Should be Empty: