Building Use Form

Name *

First

Last

Email *

Date you want to use the bulding: *

Which room would you like to reserve? *

• Upper Level Multi-Purpose Room #4 C, B, and/or A (Kitchen is included with 4 C
• Lower Level Activities Area: Kitchen
• Lower Level Activities Area: North Bay #1 (C4C Rm)
• Lower Level Activities Area: South Bay #2 (Generations Rm)
• Entire Building

       Please read the  Building Use Policy

Which time blocks would you like to reserve? *

• 7:00 – 8:00am
• 8:00 – 9:00am
• 9:00 – 10:00am
• 10:00 – 11:00am
• 11:00 – 12:00pm
• 12:00 – 1:00pm
• 1:00 – 2:00pm
• 2:00 – 3:00pm
• 3:00 – 4:00pm
• 4:00 – 5:00pm
• 5:00 – 6:00pm
• 6:00 – 7:00pm
• 7:00 – 8:00pm
• 8:00 – 9:00pm
• 9:00 – 10:00pm

(Please include time you’ll need to decorate and clean up.)

Questions or Comments – Any information about the event which might make things run more smoothly.

SUBMIT