Room Requested:
*
GM 011
GM 035
GM 038
GM 039
GM 210
GM 211 (By Permission Only)
GM 212
GM 213
GM Lounge
GM Terrace
GM Lounge and Terrace
Is this Event Public?
Yes
No
Dates Requested:
(Include month, day number, day name, and year)
Time Requested:
From:
*
To:
*
Time event begins:
*
Number of Persons Attending the Event:
*
Organization Hosting the Event:
Event Name:
Reservation request made by:
PID #: (for above):
Person in charge of the event:
PID #: (for above):
Address:
City & State:
Zip:
Phone:
Fax:
E-mail:
Will the event be catered?:
Yes
No
If yes, by whom?:
Equipment needed:
Microphone with Podium
Microphone(s) with table stand
Hand-held Microphone
Lavalier Microphone
Slide projector and screen
VCR and screen
DVD player and screen
Computer with projector and screen
Document camera
video camera
Please indicate any special equipment or setup requested:
If alcohol will be served, which kind:
beer or unfortified wine
liquor or fortified wine
Will any guests be under age 21?:
Yes
No
If so, have you created and submitted a proposal to the Director indicating how you will ensure that no one under 21 is served alcohol?:
If so, have you created and submitted a proposal to the Director indicating how you will ensure that no one under 21 is served alcohol?:
Yes
No
Room Set:
Theater Style (chairs in rows)
Dinner Style (chairs around round tables)
Do you have any special furniture needs or need kitchen access (such as tables for a caterer)? Please specify below:
Do you have any special furniture needs? (such as tables for a caterer):
I have read the Johnston Center Use Policy:
*
Yes
Note: Submission of this form does not constitute a confirmed reservation. A member of the Johnston Center staff will contact you via phone or email to confirm your reservation within three days. If you do not receive confirmation within three days, please contact Charlotte Williams at 919-843-7001 or heaven@email.unc.edu.