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2. Note:

   This form must be completed by an Adult age 18 years or older.

4. Today's Date (mm/dd/YYYY)*
6. Meeting Room being Requested*

   1. Bisbee Board of Supervisors Hearing Room
   2. Douglas Conference Room 3rd Floor

   1. Sierra Vista Foothills Large Conference Room
8. Date(s) of event*
9. Event Time(s)*

   Available Mon-Fri 8am-5pm only

11. Set-up date(s)
12. Set-up time(s)

    Available Mon-Fri 8am-5pm only

14. Clean-up date(s)
15. Clean-up time(s)

    Available Mon-Fri 8am-5pm only

    
    

17. Name of group or event*
19. Name of Contact Person/Event Coordinator*
20. Name of secondary contact
22. Primary Contact phone number*
23. Secondary phone number
25. Contact address (to include city, state and zip)*
27. Email*
28. How many participants, volunteers, staff and guest are you expecting?*
30. Please describe in detail the type of activities you plan to use the facility for.*
32. Room Use Acknowledgement*

    1. I have read and agree to all of the Terms and Conditions of the Cochise County Room Use Requirements

    Cochise County Room Use Requirements (PDF)
    
    
    
    
    
    

33. Terms Acknowledgement*

    1. I have read and agree to all of the Terms and Conditions of the Cochise County Room Use Indemnification and Terms

    Room Use Indemnification and Terms (PDF)

Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field