Contact Information
Group Name:
*
Contact Person:
*
Contact's Email Address:
*
Contact's Phone:
*
Please include area code
* required field
Request Details
Description of Event:
*
Event/Start Date:
*
Icon allows you to select date from a calendar.
Day of the Week:
*
- - Choose One - -
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Event's Start Time:
*
AM or PM?
*
Choose One
AM
PM
Event's End Time:
*
AM or PM?
*
Choose One
AM
PM
~ ~ ~ ~ ~
Ongoing Event?
*
Choose One
Yes
No
If "Yes," what frequency?
Examples: Daily for 3 days straight, 1st Monday of the month, every other Tuesday, etc.
Event End Date:
Icon allows you to select date from a calendar.
Dates to Exclude:
~ ~ ~ ~ ~
Approximate Group Size:
*
Room/Space Requested:
Room Set-Up:
Special Requests:
Submission
Please review your information and then click the button to submit your request.
Please note that each group must complete a form for each different event.
