Venue Request Form - 5501 Midlothian Turnpike, RVA

Phone number

Name of Business or Organization *

Business Website

Are you a non-profit organization?

Yes

No

Event Type

Event Description *

Event Date(s) - Include preferred and alternate dates. *

Event Time - include time of event as well as time for set up and breakdown before and after the event. *

Expected Attendance *

Will this be a recurring event? *

If Recurring Event, Please Explain in the Comments below

Yes

No

Reservation Space Request *

(Please check all that apply)

Auditorium

Green Room 1 - Small (4 guests)

Green Room 2 - Medium (6-8 guests)

Green Room 3 - Large (10-12 guests)

Dance Studio

Parking Lot

Meeting Room

Venue Usage (Please describe how you intend to use the venue for your event) *

There is a 2 court, 2 hour minimum requirement for sporting events; maximum of 3 courts. Please indicate the number of courts needed.

Number of tables requested

Will you need assistance with set up or breakdown?

Yes

No

Venue Rental Budget Amount *

Additional Comments or Requests

Additional details that will assist in preparing for the event.