Room Request Form

Date Submitted*

MUST be 1 week prior to event

Event Name*

Event Date*

Start Time*

End Time*

Setup Start Time*

Committee/Group Responsible*

Contact Person Name*

Contact Phone Number*

Contact Email*

Do you need the kitchen?*

If yes, please specify the name of your group's kitchen monitor:

Please complete all that apply to your kitchen use below:

Specify date and time:

Type of Food:*

Dishes/Silverware needed (type and amount):

Who will be washing dishes?

Use of Emanuel Staff must be pre-arranged and approved.

Room(s) Requested*

Estimate of Number of People Attending:*

Please email Lisa L. or Joe final attendance number NO LATER than 45 hours before the event.

# of Seating Tables (up to 10)

# of Seating Tables (up to 12)

# of Serving Tables (8 foot long)

# of Serving Tables (Round)

# of Additional tables for checkin/promotional materials

Additional Needs

(check all that apply)

Please specify:

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