eSPACE

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Facility Request Form

First Name * Please enter your First Name

Last Name * Please enter your Last Name

E-mail * Please enter email address/username

Phone Please enter your phone

Event Name * Please enter your Event Name

Event Description * Please enter your Event Name

Is this Event Offsite/Virtual?

OffsiteLocation

Virtual Meeting Link

Event Date *

Begin Setup

Start Time *

End Time *

End Teardown

Event Recurrence Rules

Recurrence

Recurrence Rules

Every days(s) *

Every Weekday

Recur Every week(s) on:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Recur every month(s) on:

Day

The

Recur every years(s)

On

of

Recurrence dates:

End Event after occurrences.

OR

End After Date

Location *

Public?

Public Notes

Public Link

Number of People *

Please indicate any special room set ups or AV requests for your event:

Is anyone under 18 years old participating in this event? (If yes, 2 Adult background checks will be required) *

Yes

No

Is the group requesting space registered as a 501c3 non-profit organization? *

Yes

No

Additional Contact Person/Co-Leader (Name, email and phone number)

Please read the attached Facility Use Policy. Sign page 16 and return to office@alpharettapres.com

8.a. APC Facility Use Policy updated 07.2023.pdf

Please upload your signed document (Page 16 from the APC Facility Use Policy).

Please attach your organization's COI (Certificate of Insurance)

Real Person Verification

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