FACILITIES RESERVATION REQUEST Name * First Name Last Name Email * Phone * (###) ### #### What Rooms are you interested in * Great Room/ Gymnasium Herrick Room/Meeting Room Cleary Room/Kitchen Outdoor Area Preferred Date * MM DD YYYY Time(s) of facility usage * Hour Minute Second AM PM What is your budget? (Two hour minimum) * Event / Activity Title * Short description of event/activity: * Estimated number of people in attendance? * Will there be food? * Yes No Thank you!