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2. 
4. Name of Responsible Party*

   Who will be responsible for the use of the room?

6. Address
8. City*
9. State*
10. Zip Code*
12. Email Address

    Please give us a contact email address or phone number.

13. Phone Number

    Requests without contact information will not be considered.

15. Location
    -- Select One --Community Meeting RoomTraining RoomChildren's Craft Room

    Choose which room you would like to request?

16. Number of Attendees*

    How many people will be participating in your meeting in person?

17. Stoughton Resident?*

    1. Yes
    2. No

    Check yes if you are a Stoughton resident or the event will benefit Stoughton residents.

19. Purpose*

    Tell us how the room will be used.

21. Equipment Needed

    1. Projector

    1. Laoptop

    1. OWL

    1. White Board and Markers

    Check the equipment, if any, you will need to use in the room.

23. Room Set Up*

    Please explain set up requirements, if any.  For example, tables and chairs set up for speakers at the front of the room.

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit Submit and Print

* indicates a required field