ON YOUR MARK COMMUNITY CENTER
        Capital Campaign

                                       

 



On Your Mark Community Room Reservation

Please review all policy and procedures before requesting a room.
The room request form is not a confirmation or a guarantee for a room assignment. You will be notified by email or phone whether or not the room is available or appropriate for your function. Thank You

Requested by:
 
Email Address:
 
Name of person supervising this event:
 
Title of person supervising this event:
 
Contact Number:
 
Type of Event:
 
Type of Event - 1st Choice:
 
Type of Event - 2nd Choice:
 
Date(s):
 
Are you looking for a repeating date for this event? (ie, weekly, monthly)
 
Time(s):
 
Number of people attending event:
 
Lifeguard Required:
 
Equipment Required:
 
Type of Equipment Required:
Audio Equipment
TV Equipment
Sports Equipment
Art Supplies
Other

Other (equipment specified):
 
Set up required (ie, tables, chairs, podium, etc):
 
Specify what type of set up is required:
 
On Event Day do you agree to have designated staff or persons come 15 minutes before event to assist with set up arrangements?
Yes
No

On Event Day do you agree to have designated staff or persons stay to clean up and break down the room?
Yes
No

Is this event:
Private
Public
Open to OYM consumers only
Open to specific group home requesting the event
Includes guests

Please add any other information you feel is needed to facilitate this request:
 

On Your Mark, Inc * 645 Forest Avenue, Staten Island, NY 10310 * 718-720-9233