Event Registration Request Renown Health

Event Facilitator Name*

First Last

Facilitator's Title*

Form Submitter Name*

First Last

Submitter's Title*

Is this a Renown Health event?*

Yes
No

What is the name of your organization?*

Email*

Phone*

Do you need to add or edit an event?*

Add an event
Edit an existing event

What is the link (or URL) of your event?

Please describe the edits you need made to your event.

Is this an internal event for Renown employees or an external event for the public to attend?*

Internal, Renown-only
External, Public welcome

What type of event is this?*

Non-Profit/Community Education (Public Event)
Medical/Pharmaceutical (Staff Only)
Private Space Rental (Closed to Public)

Is this a recurring event?*

Yes
No

If so, please detail the dates and times that this meeting will need to be held.*

Is this a paid event?*

Yes
No

If yes, what is the Price, Cost Center and Org?*

This cost center will be the one receiving payment.

Will participants need to register for this event?*

Yes
No

Are there seat limits for this event?*

Yes
No

If yes, how many?*

Event Start Date*

Event End Date*

Requested Start Time*

: HH

MM

Requested Start Time

Requested End Time*

: HH

MM

Requested End Time

Number of Attendees*

Event Name*

Venue Name

Venue Address

Street Address Address Line 2 City State ZIP Code

Tell us about your event.*

Please Upload Relevant Files

Drop files here or

This could be a word doc, or photos you want to include for your event.

How would you like the room to be set up?*

Will you be requesting food to be served at this event?*

Yes
No

Will this event need any of the following:*

Audio
Video
Teleconference
All the above
None of the above

Event Registration Request

How is Book Ahead Calculated?