Rental Space Request

Applicant Full Name

Organization (if applicable)

Email Address

Phone Number

Street

City

Postal Code

Describe the use/event. You MUST include: name of event, purpose of event, date(s), time(s), and expected number of people,

List your requirements for room setup.

Space Required (check all that apply) Space Required (check all that apply) Centennial Hall Centennial Hall Kitchen Upper Founders Hall Lower Founders Hall Lower Founders Hall Kitchen Danny Garrah Room

Have you rented space with us previously? Have you rented space with us previously? Yes No

Previous rental date