Point of Contact *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event Date *

MM

DD

YYYY

Event Start Time *

Hour

Minute

Second

AM PM

Event End Time *

Hour

Minute

Second

AM PM

Is this a Public or Private Event? *

Public

Private

Is this a free event? *

Yes

No

Will there be food at this event? *

Yes

No

Please mark any items you may need provided. *

Depending on the amount, we will determine what can be supplied during our consultation.

Table

Chairs

Seat Covers

Table Covers

All of the Above

None

What areas will you be reserving? *

Main Room

Conference Room

Gym Area

Parking Lot

Upper Level

Whole Building

Will a parking variance need to be filed or additional requests to block off the street(s)? *

Please note, the parking variance must be submitted by the person of contact with 228 SW 25th St. Submitted as the location. Additional requests must be approved by CH/Owner.

Yes

No

Will you require any event insurance? *

If you’re unsure, we are happy to discuss further.

Yes

No