RCLC/HUB Request Form

Which Space would you like to reserve? *

First Name *

Last Name *

Organization/Group (if applicable)

Mailing Address *

Phone Number *

Email Address

Date (s) Requested *

Start Time *

End Time *

Number of Attendees Expected *

Purpose of the Event *

Will food/beverages be served? *

Will you need tables? *

How many tables? (if applicable)

Would you like set-up/tear-down? (if applicable)

Do you have any special requests? (please list)

Would you like Custodial service?