Collaboratory Room Reservation Form

For us to best accomodate you, requests should be made 14 days in advance.

First Name

Last Name

Phone Number

Organization

Are you an LRI alumni?

Select Your LRI / CLRI Class Year:

How did you hear about our space?

Are you the point of contact for event logistics?

Point of Contact Information

First Name

Last Name

Phone Number

Event Information

Event Title

Event Description

Event Date

Is your event date flexible?

Alternate Choice 1 Date

Alternate Choice 2 Date

Event Start Time

**Please indicate if the time is AM or PM

Event End Time

**Please indicate if the time is AM or PM

Rental Start Time

Rental start time should be a half hour before the start of the event to allow time for setup. **Please indicate if the time is AM or PM

Rental End Time

Rental end time should be a half hour after the end of your event to allow time for breakdown of the space. **Please indicate if the time is AM or PM

Is this a recurring event?

Anticipated Number of Attendees

Logistical Information

Is this event open to the public or invite-only?

Are you expecting dignitaries?

Are you charging admission?

Are you offering food/beverage?

Will the event require audio-visual equipment?

Select the room setup for your event

Additional comments/notes