Facility Usage Request

You need to reserve the facility space at least 3 weeks out to allow time for processing. Once the form is submitted, you will be contacted via email for confirmation of what space you have been assigned. Rooms will not be reserved without a completed form.

Download a Copy of the Online Facility Usage Form
KUMC Facility Usage Guide
KUMC Wedding Handbook and Guidelines

Please provide complete information:

Event:

Number Expected:

Contact Name:

eMail Address:

Phone:

Group Name:

Leader's Name:

Desired Dates:

from		mm/dd/yyyy
to		mm/dd/yyyy

Alternate Dates:

from		mm/dd/yyyy
to		mm/dd/yyyy

Event Start Time:

: a.m. p.m.

Event End Time:

: a.m. p.m.

Setup Time:

< 1 hour 2-4 hours
1-2 hours 4+ hours

Cleanup Time:

< 1 hour 2-4 hours
1-2 hours 4+ hours

Sound Equipment Needed:

Yes No

Video Equipment Needed:

Yes No

Rooms Needed:

(map of facility)

Explain Setup in Detail:
(if assistance needed)