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2. Name of Organization or Club*
3. First Name*

   Requestor's first name

4. Last Name*

   Requestor's last name

6. Phone Number*
7. Email Address*
8. Purpose for the meeting*
10. Day & Start time?*
    Day & Start time?

    Day & Start time?

    Meeting rooms are available: 

    MON - THU: 9 AM - 8 PM

    FRI - SAT: 9 AM - 5 PM

    SUNDAY - closed.

11. Day & End time?*
    Day & End time?

    Day & End time?
12. Room requested?*

    1. Lester Jones Room - seats 55 adults at tables
    2. South Dakota Room - seats 8 adults at tables
13. Expected number of people attending the meeting.*
15. Will you be serving refreshments?*

    1. Yes
    2. No

    No refreshments are allowed in the South Dakota Room.

16. Equipment Needed:*

    1. podium
    2. projector
    3. screen
    4. sound system
    5. none
17. Additional Information:
19. Meeting Room Policy - click on the link to read
    Meeting Room Policy
21. I have read the meeting room policy:*

    1. Yes
    2. No

    * Requests are time-stamped when submitted. A staff member will contact you to verify your request has been approved.

Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field