Thank you so much for your interest in hosting your event at the Salem Withnell Family Y! Please complete the short survey below in order for us to best plan for and consider your request. First & Last Name Are you a current member? Yes No Have you been in contact with a staff member already regarding this event? Yes No If yes, whom? Name of Organization (if applicable) Email Point of Contact & email (if different) Event Name Date of Event What room/s do you wish to reserve? Capitol Room Track Rooftop Studio The Square Pool Basketball Gym I'm not sure, I need more information Event Start & End Time Access/Set-up Time? Cleanup Time (out by) Is this time flexible? Yes No Amount of Guests/Attendees (rough estimate if unknown) Is your organization a non-profit 501(c)(3)? Yes No Will your event require A/V setup? No Video/Laptop connection Audio Only Video & Audio Room Setup Requirements Round Tables Seats up to 100 people Conference Style Tables Seats up to 30 No Setup Combonation Setup Rounds with short tables for food Other Please describe below Alternative Room Setup: We have 15 short conference style rectangle tables & plenty rounds. Please describe how you wish the room will be ready for you. Will you be bringing food? Yes - we are bringing Yes, delivered No I acknowledge any non-members will need to bring photo ID with them to the Y. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
First & Last Name Are you a current member? Yes No Have you been in contact with a staff member already regarding this event? Yes No If yes, whom? Name of Organization (if applicable) Email Point of Contact & email (if different) Event Name Date of Event What room/s do you wish to reserve? Capitol Room Track Rooftop Studio The Square Pool Basketball Gym I'm not sure, I need more information Event Start & End Time Access/Set-up Time? Cleanup Time (out by) Is this time flexible? Yes No Amount of Guests/Attendees (rough estimate if unknown) Is your organization a non-profit 501(c)(3)? Yes No Will your event require A/V setup? No Video/Laptop connection Audio Only Video & Audio Room Setup Requirements Round Tables Seats up to 100 people Conference Style Tables Seats up to 30 No Setup Combonation Setup Rounds with short tables for food Other Please describe below Alternative Room Setup: We have 15 short conference style rectangle tables & plenty rounds. Please describe how you wish the room will be ready for you. Will you be bringing food? Yes - we are bringing Yes, delivered No I acknowledge any non-members will need to bring photo ID with them to the Y. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.