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 Lyndon Vincent at
lvincent@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?
Yes
No
Is there a fee to attend this event?
Yes
No
Will elected officials be invited or present at this event?
Yes
No
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
Yes
No
Please upload your logo here
Please upload your marketing materials here
Contact Information