The Dewitt Center Event Intake Form

Please answer the questions below about your upcoming event at The Dewitt Center.

*MUST RESERVE THE SPACE AT LEAST 6-10 DAYS IN ADVANCE PRIOR TO THE EVENT*

If you have any questions regarding The Dewitt Center please contact Erica Davis, The Dewitt Center Director at edavis@madison-park.org.

If you have any questions regarding marketing please contact Kelly Lydon, Director of Communications and Public Affairs, klydon@madison-park.org.

Contact Name

Email

Resident (YES or NO). Please note Residents are only allowed to reserve Classrooms A and B.

Organization/Sponsor Name

Event Name

Program Name

Event Website

Program/Organization Website

What room(s) would you like to reserve?

Classroom A(Capacity 27)Classroom B(Capacity 27)Classroom A/B Combined(Capacity 54)Tech Room(Capacity 59)Gym(246 assembly seating/204 dinning w/table seating)Arts and Crafts Room(Capacity 15)

Event Age Range

School Age (5-12)Youth/Teens (13-20)Adults (21+)Seniors (60+)

Event Description/Time and Date.

Is this event open to the public?

YesNo

Is there a fee to attend this event?

Yes No

Will elected officials be invited or present at this event?

YesNo

If yes, please list their names

Will you be promoting this event? If yes, where/how?

The Dewitt Center has my logos and marketing materials

YesNo

Please upload your logo here

Please upload your marketing materials here

Contact Information