Café Permission Request Form
Submit your request to use the café space for your event or activity.
Full Name of Applicant
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Affiliation (if applicable)
Purpose of Café Use
*
Requested Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Duration of Use (hours)
*
Expected Number of Attendees
*
Will you require any of the following?
Audio/Visual Equipment
Catering Services
Extra Tables/Chairs
Other (please specify)
Have you previously used the café for events?
*
Yes
No
Additional Notes or Special Requests
Submit Request
Should be Empty: