Room Request Form

Today's Date REQUIRED Please fill out this field. Please enter a date.

Number of People you expect REQUIRED Please fill out this field. Please enter an integer (number).

Event Name REQUIRED Please fill out this field. Please enter valid data.

Organization sponsoring event REQUIRED Please fill out this field. Please enter valid data.

Event Date REQUIRED Please fill out this field. Please enter a date.

Day of the week (Mon. Tues etc) REQUIRED Please fill out this field. Please enter valid data.

Time Requested (Time for set up and clean up) REQUIRED Please fill out this field. Please enter valid data.

Actual time of Event (including beginning and ending time) REQUIRED Please fill out this field. Please enter valid data.

Room Requested REQUIRED Church Basement Church Victoria Hall (gym space only) Victoria Hall Kitchen Victoria Hall Music Room Benincasa Office Dining Room (1st Floor) Benincasa Office Living Room (2nd Floor) Chris Burr Learning Commons (school basement) Please fill out this field.

Will alcoholic beverages be served? REQUIRED Yes No Please fill out this field.

Will you charge for alcohol? Yes No

Will food be present at this event? REQUIRED Yes No Please fill out this field.

Will an outside vendor be present (e.g caterer, musician, DJ, videographer) REQUIRED Yes No Please fill out this field.

If using an outside vendor, please explain (List business names and emails for vendors)

Vendors neeeds COI. Each vendor who will be on campus will need to provide a certificate of insuranace that meets our insurance requirements.

A staff person must be involved if you are using any of the items below: Please check all that you are requesting The kitchen The sound system A projector and screen I request the Music Room wall to be opened