EmailMe Form - Facility Rental / Event Request Form

Date Of Your Event

MM / DD / YYYY

Start Time

HH : MM AM/PM

End Time

HH : MM AM/PM

Name of Group or Organization

Name of Person Responsible for Event

First Last

Name of Person Responsible for Clean Up

First Last

Best Contact Number

### - ### - ####

Your Email

Type of Activity & Specific Purpose of Activity

Anticipated Size of Group

Area(s) Requested (Please check all that apply)