subject_line
Community Life Center Reservation
Date
*
+
Start Time
*
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
End Time
*
8 AM
9 AM
10 AM
11 AM
12 PM
1 PM
2 PM
3 PM
4 PM
5 PM
6 PM
7 PM
8 PM
Number of Attendees
*
Contact Person
*
Name of Host/Group
Reason for Event
Email Address
*
Phone
*
Specific Room Request
*
Gymnasium
Gathering Room
A Classroom
Set Up Required?
*
Yes
No
If Yes, please explain what is needed (tables, chairs, audio/visual):
*
Please request from the available audio/visual support items listed below
*
Handheld Wireless Speaking Microphone
Lavalier Wireless Speaking Microphone
Music/Singing Backline Support and Engineer (add'l cost)
Live Audio Recording (add'l cost)
Projector Screen Visual Support (CLC Gymnasium)
TV Cart Visual Support (DVD player, Apple TV, or HDMI connectivity)
Powerpoint support (via flash drive)
Powerpoint support (via HDMI, user's computer)
Propresenter Support (via personnel)
Video Support (with audio)
None
Food/Concessions?
*
Yes
No
Entertainment?
*
Special Instructions
0/100 characters
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