Facility Reservation Form

Fill in all information (Use estimates if needed)
This is only a request, not a confirmation.

* = Required Information

Sponsoring Organization or Department: *

Contact Name: *

Office/Mobile Phone: (XXX-XXX-XXXX) *

E-mail Address: *

Event Type:

Buildings/Rooms Requested

Click here for facility rates/capacity information.

Barrette Business and Community Center:
Center A Center B Center C

Paul and Carol David Family Campus Center:

Aultman Foundation Health and Sciences Center:

Timken Natural Sciences Center:

Gymnasium/Physical Education Building:

Hoover Park:

Days/Dates/Year of Event: *

Alternate Date:

Event Start Time: (A.M. or P.M.) *

Event End Time: (A.M. or P.M.) *

Title of Event:

Estimated Attendance:

(Please be as specific as possible)

What equipment needs do you have?

(Place the number of items needed in the box next to each item.)

VHS/VCR:	CD/DVD:
Laptop: (University)	Internet Access:
Overhead Projector:	Podium/Mic:
Lavaliere:	Easel:
Screen:	Registration Table/Chairs:
Flip Chart:	Stage/Riser:
Coat Rack:
Chairs (Indicate Number):	Tables (Indicate Number):	Table Options:

Head/Panel:

Please indicate the number of chairs needed at head/panel table:

Signage:

(Provide event name. Abbreviation may be necessary.)

Note: All signage placed on the Walsh University campus by the outside party is not the responsibility of Walsh University and must be removed by the attending party when the event is over.

Alcohol Served?:

Food Served?:

Please Note: All food and drinks must be provided by Sodexho Alliance.

For Catering requests and menu options, please contact Lori Lewis at 330.490.7384 or e-mail llewis@walsh.edu

Comments:

Please enter the value you see below in the image.

Please Note: This is a facility request. You will be contacted with a confirmation of space availability.

Please send comments to Kathy Robertson, Special Programs Coordinator.