FORM 206 – CLUBHOUSE ROOM RESERVATION                       
                                                             
                
               Name: _______________________________            Phone No.: __________________________ 
                
               Address: _____________________________           Email: ______________________________ 
                
               Organization Sponsoring Event: __________ __________________________________________ 
                
               Room Requested: _______________________________________________________________ 
                
               Description of Event:  ____________________________________________________________ 
                
               Date of Event: _________    Start Time: ___________            End Time: _______________ 
                
               Setup Time:          Date:  ____________         Time:  ____________________ 
                
               Clean-up Time:       Date:  ____________         Time: ____________________ 
                
               Person(s) Responsible for Clean-up: ________________________________________________  
                
               (Note: Set up time should be flexible to accommodate other needs for the facility) 
                
               Comments: 
               ______________________________________________________________________________
               ______________________________________________________________________________
               ______________________________________________________________________________ 
                
               Please keep a copy of this form for your records.  You will be notified on the disposition of this 
               request.  
                
               Date Received: ____________         
                
               By: ______________________          
                
               Status: ___________________ 
                
               Adopted August 13, 2015