Building Reservation Request Name * First Name Last Name Email * Mobile Phone * (###) ### #### Today's Date * MM DD YYYY Event Name * Date Requesting for Reservation * MM DD YYYY Start Time * End Time * Will this be a Reoccurring Event? * Yes No If it is Reoccurring, What is your End by Date? MM DD YYYY Area of Request? * Gym, Conf Room, etc. Any Additional Information Ex.) if your event will be recurring for Mondays vs a certain date, you can provide that information here. Along with any other information you may need to provide. Thank you for your request! All requests are subject to approval, and you will be contacted with confirmation or follow-up details. Submitting this form does not guarantee your reservation until officially approved. Once approved you will be emailed a “Policy for Building Usage” you will need to sign and return. Use this form to submit a request to reserve the building for your event or activity.