Wufoo

Contact Name * First Last
Contact Phone Number * ### - ### - ####
Contact email address *
Organization Name *
Name of Event *
Location of Event *
Date of Event * MM / DD / YYYY
Additional dates if repeating event
Time of event HH : MM : SS AM/PM
Equipment available for pickup:
Boom Box with Ipod Connection Large Room projector Small Room Projector Digital Camera Screen Wii Gaming System

Large room projector meant for rooms such as the Olmsted Conference room (all four rooms open) or Parents Hall.
Equipment Set-up Provided by SLC
Portable Sound System Pomerantz Sound System Karaoke System
Equipment set up time HH : MM : SS AM/PM
A representative from your organization must be present at equipment set-up and equipment break-down.
End of Event HH : MM : SS AM/PM
Please Describe Your Event in Detail: *
Do Not Fill This Out