Event Request Form

Organization/Class Requesting Event

Event Description (include room needed, etc.)

Number Attending Event

Date(s) of Event

Event Start Time (include set-up time)

Event Stop Time (include tear-down time)

Additional Event Information (need table, chairs, outlet, special equipment, catering needs, table cloths, decorations, etc.)

Other Information

Organization Contact Person

Contact's Person's Phone #

Contact Person's E-mail

Will food be served?

Yes No

Will alcohol be served?

Yes No