Room Reservation Request

Day of the event Event date

Other dates

Event time from am pm to am pm

Reserve from am pm to ampm

Child-care needed yes     no
Child-care requested from  am pm to  am pm
for approximately  children

Note: Child-care will not be provided for any event held off campus.

Estimated attendance Room(s) requested

Room set-up

Equipment/supplies (overhead, TV/VCR/DVD, easel, tablecloths, cutlery, napkins, cups, etc.)

Vehicle request
bus (15 passengers, including driver)
truck
van (11 passengers, including driver)

Pick-up day Pick-up date
Pick-up time am pm Return date

Driver

Note: Driver must complete a Vehicle Safety form and provide a copy of their license at least 10 days prior to event.

Group making reservation

Name of event

Brief description of the event (up to 60 characters) to be posted on the on-line calendar

Your name (required)

Today's date

Telephone (required)

E-mail address (required)

Completing the Reservation Request does not assure your event.
You will be contacted when your reservation is confirmed.

If you have any questions, please contact Pat Benfield at 704-892-8277.

CONTACT DIRECTIONS