Rafi Greene Space Reservation Request

Rafi Greene Space Reservation Request

Please submit your request for space use below.
Requester Information
Full Name

First NameMiddle NameLast Name
Organization Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred Method of Contact
Space Request
Which space(s) would you like to request?
Requested Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please note that all requests must be made at least one month in advance. Requests with less notice will be automatically denied.
Requested Start Time

Hour Minutes

AM/PM Option
Requested End Time

Hour Minutes

AM/PM Option
Estimated Number of Attendees
Event / Activity Information
Event or Activity Name
Please describe the purpose of your event, meeting, program, or activity.
Is this event open to the public?
Will food or beverages be served?
Room & Setup Needs
Do you have any special room setup needs?

Other
If you selected Other, please describe the room setup needed
Do you have any accessibility accommodations or other needs we should be aware of?
Additional Comments or Requests
Please allow 48 to 72 hours for staff to respond. Thank you!
Should be Empty: