UUCA Building Use Initial Application

UUCA Building Use Initial Application

Provide your details and rental space preferences to submit your request.
Full Name

First NameLast Name
Organization

Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you a

Other

Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

Type of Event
Estimated Attendees (including staff and volunteers)
Note that the max is 250 persons
Which Room(s) Would You Like to Reserve
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Alternate Dates that Would Work

Intended Duration of Event
Recurring Event?
Start Time of Event

Hour Minutes

AM/PM Option
End Time of Event

Hour Minutes

AM/PM Option
Setup Time Required
Cleanup Time Required

Other Needs
Will You Be Serving Food?
Will Use of the Kitchen be Required?
Will You Require Janitorial Services?

Will You Require Use of the PA or Video System
Will you Require Chairs/ Chairs to be Moved, Tables, Etc.
Additional Comments or Requirements
Should be Empty: