Your request will be e-mailed directly to Robert Brooks, in the event of a conflict you will be contacted.
If no conflicts arise your event will be added to our schedule primarily on a first come first serve basis.

Fields denoted with an asterisks * are required, if they are not filled out you will be asked to go back and fill them in

Event:

Desired Date(s): Year: January February March April May June July August September October November December Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 thru Select Month January February March April May June July August September October November December -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Alternate Date(s): January February March April May June July August September October November December Sunday Monday Tuesday Wednesday Thursday Friday Saturday 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 thru Select Month January February March April May June July August September October November December -- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

 Reserve/Setup Time:
From: 12 1 2 3 4 5 6 7 8 9 10 11 : 00 15 30 45 am pm

 Event Time:
12 1 2 3 4 5 6 7 8 9 10 11 : 00 15 30 45 am pm to 12 1 2 3 4 5 6 7 8 9 10 11 : 00 15 30 45 am pm

 Cleanup Time:
To: 12 1 2 3 4 5 6 7 8 9 10 11 : 00 15 30 45 am pm

Off Campus Location:

Address:

Phone: ()-

Transportation:

Room(s) Requested:

Room Arrangement:

Arrangement Style:     Comment:

Number Expected:

Event Needs: Kitchen Access Nursery Access Sound Tech

Chairs: # Type:

Table: # Type:

Equipment:

Contact: *

E-mail (for approval verification) *
Day Phone: ()-

Night Phone: ()-

Group:

Leader:

Staff:

Fee: $

Bulletin:   Monthly Calendar: 
Bulletin Title:

Key Needed: 

Other Notes or Comments: