Form Center

2. Room Request Application

   This is a form to be completed by a person or group that wishes to use the Government Center for a meeting or event.

4. Name*
6. Address
8. City
9. State
10. Zip Code
12. Phone Number*
13. Email Address*
15. Name of Organization*
16. Type of Organization or Event*
    -- Select One --Englewood Non-ProfitOther Non-ProfitEvent/Private Party
18. Availability

    Monday - Thursday 8am to 9pm                Friday 8am to 5pm              No Weekends or Holidays

20. Date Requested*
    Date Requested
21. Start Time*
22. End Time*
23. Total Hours*
25. Description of Event*
26. Preferred Room for Event*
    -- Select One --BasementCouncil ChambersNorth Wing ANorth Wing BNorth Wing C
28. Number of Attendees*
29. Number of Tables*
30. Number of Chairs*
32. Will Event have Drinks and Food?*

    1. YES

    1. NO
33. Does Event Need Additional Amenities*
    -- Select One --Sink with Countertop spaceSink, Microwave, RefrigeratorNone of the above
35. What types of multi-media does the Event require?*
    -- Select One --TV/Projector with SoundSound System onlyNone
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field