Benson Centre Multi-Purpose Room Request Form

Please note that this is a request form and does not guarantee a room for your event. Staff will follow-up after the form has been submitted.

Name of Event:

Potential date(s) requested:

Potential start time:

Potential end time:

First and last name of organizer:

Organizer email address:

Organizer phone number:

Organizer date of birth:

Organizer mailing address:

Emergency contact name:

Emergency contact phone number:

Please indicate which multi-purpose room you are interested in:

Automotive Room (max. capacity of 100 people) - large room on main level located near the front entrance

MacEwen Room (max. capacity of 50 people) - medium room on main level located across from fieldhouse

Pommier Room (max. capacity of 40) - located upstairs in Pad 1

Corus Room (max. capacity of 20 people) - small room located upstairs in Pad 1

Room E (max. capacity of 20 people) - small room located upstairs overlooking Pad 2

Room F (max. capacity of 20 people) - small room located upstairs overlooking Pad 3

Do you require any set-up and take-down time?

Yes

No

Do you require any equipment? (i.e. tables, chairs, projector, extension cords, etc.) Extra charges may apply.

Yes

No - clear room

Additional comments/information: