Black Rose Event Space Request 🌹✨
Fill out your event details to request the space for your community-centered event.
Contact Information
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization / Group Name
Website or Social Media Link
Event Details
Event Name
*
Event Type
*
Workshop / Class
Community Meetup
Private Gathering
Pop-Up Event
Other
Event Description
*
Attendance
Estimated Number of Attendees
*
Age Group
*
Please Select
Kids
Teens
Adults
Mixed
Date & Time Request
Preferred Date
*
 -
Month
 -
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Are you flexible with the date or time?
*
Yes
No
Alternate date/time options (if flexible)
Space + Setup Needs
Setup Needed
*
Seating only
Tables + chairs
Open space
Other
Will you bring any equipment or materials?
*
Yes
No
Is electricity required?
*
Yes
No
Additional setup notes
Sales / Ticketing
Will your event include sales or ticketing?
*
Selling products
Charging admission
Both
Neither
Please describe the sales or ticketing details
Agreements
I agree to respect the space and follow all setup and cleanup guidelines.
*
Yes
I understand this is a request and not a confirmed booking.
*
Yes
Final Section
Anything else you’d like our team to know
Submit Request
Should be Empty: