Public Room Booking Form

Name

Contact person (if different from applicant)

Organization (if applicable)

Is your organization a registered not-for-profit? Is your organization a registered not-for-profit? Yes No

Phone number

Email address

Address

City

Province

Postal code

Please describe your event

Please select the space(s) you wish to rent. Please select the space(s) you wish to rent. McKinley Hall Auditorium Marillac Room Nurses Room

Planned attendance numbers

Parking requirements (please describe and include number of required spaces)

Requested rental date(s)

Requested rental start time(s)

Requested rental end time(s)

List your audio/visual requirements (if applicable)

Quantity of tables and chairs needed (if applicable)

Describe configuration of tables and chairs (if applicable)

Will food/beverage be served? Will food/beverage be served? Yes No

Do you plan to use Providence Village internal catering services (Sodexo)? Do you plan to use Providence Village internal catering services (Sodexo)? Yes No

Do you plan to use an external catering service? Do you plan to use an external catering service? Yes No

Special accommodation requests (please describe)

Additional details about your event

How did you hear about our venue?