Facility Use Request
Complete this form. It will automatically notify COP Support Staff of your request.

Completing this form does not guarantee a space is reserved. The cost to reserve a room varies by non-profit status, length and time of reservation and size of room needed.  

You will receive a confirmation email once a room has been reserved, and any room use fees will be shared with you at that time.
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Email *
Title of Workshop/Event *
Date of session *
MM
/
DD
/
YYYY
If multiple days/dates list them here:
Start Time of Session: *
Time
:
End Time of Session: *
Time
:
Contact Person / Cell phone / Email *
Presenter Name / Cell Phone / Email *
Handouts / Materials will be provided  by Presenter *
Required
Number of Participants *
Target Audience *
Cost for Participants? *
Registration on Wisdomwhere? *
Required
Session Description - please be specific as this will be the narrative on the registration site (Wisdomwhere) *
If on WisdomWhere, provide a "CATEGORY" (e.g. Literacy, Curriculum, Technology) *
Please choose preferred registration option: *
Applying for SCECHs? *
Food / Beverage Request *
Coffee / pop/ water ($5/person)
Lunch - includes beverages ($15/person)
No Food or beverages
Check all that apply
Indicate any Dietary Restrictions
Time lunch is to be ready:
Time
:
Equipment Requested - select all that apply *
Required
Room set up options (all tables have power source)  Select preferred set up.
A copy of your responses will be emailed to the address you provided.
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