ERF form

Event Request Form

Point of Contact
Please list who the point of contact is for the event.
Name*
First Last
Email*
Phone*
About the Event
Name of Event*
Please enter the name of the event.
Brief Description*
Please enter a brief description of the event and the target audience.
Date of Event*
MM slash DD slash YYYY

Enter the date of the event. If the event is a time frame (several days or weeks) please indicate the START date.
Event Times*
Please list the start and end times for the event. Please include set up and tear down/clean up time.
Primary Event Location*
Please indicate which room(s) will be used for the event. Please include all rooms, regardless of the length of time needed.
Secondary Event Location*
In the event that your primary location is unavailable, please select a secondary location.
Child Care*
Please indicate if a child care room is needed. This is not a request for child care support. You need to provide your own sitters.
Event Needs*
Please indicate all the supporting resources needed (Audio/visual; child care; music; keys needed).
Section Break
Details Regarding Event*
Please describe, in detail, the needs of this event.
Other Comments or Notes
Anything else we need to know about your event?
CAPTCHA
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Point of Contact