Events Center Form

2. REQUESTED BY:

4. ***To reserve the space, the event set-up must be submitted with the form for their space reservation to be approved. The number of people must be confirmed 48 hours in advance. ***

6. First Name*

7. Last Name*

8. Phone Number*

   Ex: 505-863-1301, 863-1301, or 11301

9. Today's Date*
   Today's Date

   Today's Date

11. Department*
    -- Select One --AirportAnimal ControlAquatic CtrChildren's LibraryCity ManagerCity ClerkCommunity ServicesConstruction & MXCustomer CareElectricEl MorroFacilitiesFinanceFireFitness CtrFord Canyon Senior CtrFox Run Golf CourseGISHarrold RunnelsHuman ResourcesInformation TechnologyLBM Recreation CtrLegalMeters & BillingMunicipal CourtNeighborhood Sen CtrOctavia Fellin Public LibraryParks and RecPlanning and ZoningPolicePublic WorksPurchasingRed Rock ParkRex MuseumRisk MgtSecurityStreetsSolid WasteTourism & MarketingUtility AdministrationVehicle ShopWaterOther Affiliate

12. Date(s) Requested
    Date(s) Requested Start Date

    Date(s) Requested Start Time

    —

    Date(s) Requested End Date

    Date(s) Requested End Time

13. Equipment Needed

    1. Conference Phone
    2. Microphone
    3. Projector
    4. Laptop
    5. Speakers
    6. Skype

    Please check all that apply.

14. Type of Tables*
    -- Select One --Conference (1.5' x 5')Banquet (3' x 6')

    Please select the size tables you will need.

16. Number of People in Attendance*

    Please indicate how many people you anticipate attending this event.

17. Do you plan to use the kitchenette?*

    1. Yes
    2. No

18. Event Set-up Configuration*

    1. A
    2. B
    3. C
    4. D

    Please review the set-up configuration options on the event center reservation page.

20. Room Setup Description:

    Please provide a detailed explanation of what you would like the space for.

24. INTERNAL INFORMATION
    (To be filled by Event Center Staff)

    (To be filled by Event Center Staff)

25. Reservation Number:

27. Request Response:

    1. Approved
    2. Denied
    3. Delayed

28. Assigned To:

    1. Jennifer
    2. Sleepy
    3. Snoozy
    4. Dopey
    5. Bashful

29. Date Completed
    Date Completed

    Date Completed

31. Staff Remarks

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field