Room Reservation Request Form

CENTER FOR COMMUNITY HEALTH

Healthy Living Library/Center Conference Room

The Center for Community Health is pleased to offer its Healthy Living Library and Center Conference Room for use by University and community partners, per availability, for meetings/special events. Room descriptions can be found at Room Descriptions.

Reservation Procedures

Rooms may be reserved between the hours of 7:30 am and 8:00 pm, Monday - Friday.
To request a room, please complete the room reservation request below and press "Submit". Or you may e-mail or fax the form. If you have any questions, please contact Mary Anne Gombatto at (585) 224-3053.

Usage Guidelines

Free parking is available, however if meetings are scheduled during the hours of 7:30 am - 5:00 pm, advance parking arrangements should be made with Mary Anne Gombatto by calling (585) 224-3053. Building tenants use this lot during the day, so other parking arrangements may be necessary.
No beverages containing alcohol are allowed on the premises.
Rooms should be left in the same condition as they were found (including furniture placement), and room equipment (laptops, library materials, television, phones, displays, etc.).
If a caterer will be used for your meeting/event, the caterer should remove all unused food items and supplies.

Room Reservation Request Form

Requesting Organization:

Contact Person:

Name:
Office Phone #:
Cell Phone #:
E-Mail Address:

Room You are Requesting:

Healthy Living Library (accommodates maximum of 15 people)
Center for Community Health Conference Room (accommodates maximum of 22 people)

Dates Requested:

Times: From: To:

Timeframe, if meeting is reoccurring:

Number of Expected Attendees:

If you will need to arrange for a conference call during your meeting, please call Mary Anne at 224-3053 or e-mal Maryanne_Gombatto@urmc.rochester.edu for assistance.

If you will be bringing a laptop for a presentation, will you require a projector?

Yes
No

Will you be having refreshments/meal delivered or will you be using a caterer?

Yes If yes, name of Deliverer/Caterer:
No

Please take notice of fire and evacuation routes and of emergency numbers that are posted near the entrance/exit to the room.