Home
About
Events
Fitness
Facilities
Virtual Tour
Banquet/meeting room request
Fill out the information down below to request your reservation. Submitting this form is not a confirmation of your request.
Name of Organization
Purpose of your event:
Topic of your event:
Name of Individual Applicant
Address 1
Address 2
Country
City
State
Zip/Postal Code
Email
Phone Number
Requested date of use:
Start Date (xx/xx/xxxx):
End Date (xx/xx/xxxx)
Start Time:
12AM
1AM
2AM
3AM
4AM
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
11PM
End Time
12AM
1AM
2AM
3AM
4AM
5AM
6AM
7AM
8AM
9AM
10AM
11AM
12PM
1PM
2PM
3PM
4PM
5PM
6PM
7PM
8PM
9PM
10PM
11PM
Room Request
Auditorium
Banquet Hall
Event Room
Number of Participants
Setup Style
Auditorium/Theatre Style (chairs in rows)
Classroom Style (tables with chairs)
Conference Style (U-shape)
Banquet Style
Will food and/or beverages be served at this event? Is so, please provide details:
This is a REQUEST for use and not a confirmation. You will be contacted to discuss any further information we may need and for confirmation of your request.
Anti-Spam: In What City is the Life Center Located?
Submit