By Anonymous (not verified), 16 January, 2025 Please fill out this form as completely as possible to request the use of Beit Am facilities or to plan for an enrichment event.Click here to access a printable PDF version of this form. Are you a Beit Am member? Yes No First Name Last Name Email Phone Number Please contact the Beit Am office (541-754-0067) for additional information Are you requesting Enrichment programs approval? Yes No Are you requesting Facility use approval? Yes No Event Details Name of Program/Workshop/Event: Event Description Event Purpose Who will be Facilitator/Leader? First Name Last Name Leader's Background/Experience Intended Audience (age, experience, etc.) This is a one-time or multi-session request one-time request multi-session request Please enter the dates of your events for the next 6 months Event Date Event Logistics Event Format (check all that apply) In Person zoom Will this event be recorded? Yes No start time End time of event Setup Date(s) Setup Time Cleanup Date Cleanup Time Expected Attendance If over 100 in person participants are expected at event, please contact the Beit Am safety and security team for additional assistance. Expected Parking If more than 40 cars are expected at event, please contact the Beit Am Office (541-754-0067) to see if arrangements can be made for overflow parking. Facilities & Equipment Needs (Please check all that apply) Facilities Desired Classroom(s) Library Sanctuary Social Hall Kitchen Gallery Forest Sanctuary Deck Equipment needed Will Alcoholic Beverages be served? Yes No OLCC License #: Will food be served? Yes No Is a caterer providing food? Yes No Caterer name Caterer Liability insurance # Additional Services Needed - name and liability insurance # Photographer Name Photographer liability Insurance # Musician Name Musician liability Insurance# Videographer name Videographer Liability Insurance# Is the Event Open to the General Public? Yes No Will there be an Admission Fee? Yes No Amount $ If yes, please explain why CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
