Please read our meeting room use policy before submitting your request

Covington:

Date Needed:

Beginning Time:

End Time:
(Please include clean-up time in your request)

Purpose of Meeting:

All meetings shall be open to the public.

Estimated Attendance:

Equipment Needed:

Room Setup:

Will refreshments be served? YesNo

Organization

Organization Name:

Organization Phone:

Organization Address:

Organization City:

Organization State:

Organization Zip Code:

Purpose/Type:
(i.e. educational, recreational, etc.)

School/Home School?YesNo
Grade SchoolMiddle SchoolHigh School

Non-profit organization? yesno
Non-political organization? yesno

Organization's Authorized Representative

Your Name (required)

Title:

Representative Address:

Representative City:

State:

Zip Code:

Representative Phone: (required)

Representative Work Phone:

Your Email (required)

Additional Information:

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