Community Building Use Inquiry Form

The Bloomhouse is a space for the community to utilize for various community events. This space is free to rent and therefore all events held in this space should be free of charge for attendees. Please note that completing this form does not guarantee that your event will be held on the proposed date. Someone from the Bloomhouse Team will follow up to confirm the event or gather more information. COVID PROTOCOL We are trying our best to serve the community while following all CDC/ County COVID protocol. With that in mind, the availability of our site may change at any time in accordance with those protocol. The following are the requirements for indoor and outdoor building use: • Indoor: all participants must be up to date with their COVID vaccination consistent with the current CDC recommendations. • Outdoor: Fully vaccinated participants do not have to wear masks. For all events if participants present with any covid symptoms we ask that they stay home.

Name of Organization/Group

If not affiliated with a community organization, please enter your name below.

Organization Address

Name of Event

Event Contact Name (First, Last)

Contact Email Address

Contact Cell Number

Event Type: Indoor/Outdoor

Indoor events must me in compliance of COVID testing requirements outlined above. Limited availability.

If event type other is selected, please specify.

Do you plan to charge for this event?

Event Description

For example, 5 person meeting with no AV, chairs required.

Event Start Date and Time (include setup)

Event End Date and Time (includes break down)

Provide a draft schedule/agenda for the event.

Include set up, activities, and break down start and end times.

How many people do you expect to attend the event?

Will food and beverage be served at this event?

We have 10 rectangular tables (3X4.6 ft), will you be using these?

We have 100 Chairs, will you be using these?

What additional items/equipment will you bring? (projector, extra tables, speakers, etc):

Will you be renting equipment for this event?

Attachments

Please use this space to update any additional info that may be helpful for this event (flyer, planning documents etc.)

Attach file

Drop files here

Let us know if there is anything else we should know about this event.

Do not submit passwords through this form. Report malicious form

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