Harney ESD Meeting Room Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Harney ESD has a meeting room available for activities of an educational nature. The room may be reserved by approved educational agencies at NO COST for use during regular business hours. Harney ESD's facilities are also available for private, public or commercial use for a fee.

Harney ESD's parameters of use include the following:

- Room availability is restricted to normal business hours – Monday to Friday, 8:00AM to 3:30PM.

- Meeting rooms are to be left in same condition they are found.

-Harney ESD does NOT have an area for food preparation or cold storage, please plan accordingly.

- Catered food and beverages may be brought on-site, as long as food waste and trash are disposed of immediately after the meal or at the end of the meeting/event. Trash and recycling containers are provided.
($25 fee will be added to the room fee.)

-Some audio-visual equipment is available for a fee with advance request (see below).

-Materials and handouts are the responsibility of the meeting organizer.

-Room doors should be kept shut; this keeps noise levels down and helps regulate room temperature.

-If you have any other questions or concerns please call (541)573-2122

* Required

Organization/Group Name: *

Contact Person: *

Email Address: *

Address: *

Phone Number: *

Meeting Information

Meeting Title: *

Meeting Description: *

Meeting Audience: e.g. Teachers, Students, Community Member, etc.

Date: *

YYYY

Set-up time: *

Time

Start time: *

Time

End time: *

Time

Number attending: *

Is your event going to offer food and/or beverage service? ($25 fee for catered meals brought in) *

Yes

Room(s) Needed, Room Set-up, and Technology

Room Needed: *

Public Meeting Room - (large meeting room can accommodate 50 people with tables/chairs) - $150.00 full day/$75.00 half day

Public Meeting Room & Training Room - (large meeting room & training room can accommodate 80 people with tables/chairs) - $200.00 full day/$100.00 half day

Required

Room Set-Up *

U-Style

Small Groups

Theater

Hollow Square

Chevron

Classroom Style

Boardroom Style

Other:

Required

Resources Needed: *

Computer

Projector

Screen

Wireless Internet

Registration Table

Refreshment Table

Coffee (2 pots included in room rental fee)

Other:

Required

Terms and Conditions

Use of the meeting facilities is FREE for Educational purposes, and for a FEE for Public, Private, or Commercial events when used in compliance with the following conditions.

Please select each item to indicate you have read and understand the terms and conditions. *

I understand that if our event is catered, clean up will occur immediately after the meal is completed.

I understand that Harney ESD does not have an area for food preparation or cold storage for use.

I understand that Harney ESD is a workplace. Harney ESD expects guests to be respectful of its employees' work environment and noise levels will be kept to a minimum.

I understand I will not have building access until 8:00AM and my event must be completed by 4:00PM, unless prior arrangements have been made.

I understand that I must leave the meeting space in the same condition that it is found.

My organization accepts responsibility for any damages that might occur due to our use.

I will communicate room use conditions to presenters, vendors, and primary meeting / activity contact(s)

Required

You will receive a confirmation email if Harney ESD is able to accommodate your request. If your event is private, public or commercial, a quote for the room fee will also be included in the email. If you do NOT receive a confirmation email within one weeks time, please call (541)573-2122.

Comments:

Thank you

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Harney ESD. Report Abuse

Forms