Special Event/Meeting - Genesis Centre

Special Event/Meeting

First Name

Last Name

Phone Number

Address

Zip/Postal Code

Select any or both

I am the Representative

I am the Event Owner

Date

Number of People

Start Time (Including Set Up Time)

End Time (Including Takedown Time)

Alternative Dates & Times (it will significantly increase your chances of being accommodated)

How did you hear about the Genesis Centre?

Referral/Other

Event Name

Organization

Venue

Number of chairs

Number of tables

Layout/Style

Type of Special Event

Is your event ticketed?

Yes

Other (please provide more details in notes)

Type of Participation

Need any of these Add-Ons in the venue?

Food will be served

Alcohol will be served

PA System

Podium

Projector

Screen

Stage

Kitchen Access

Additional Comments

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