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Bethell-Delfino Ag Building Room Reservation Form

El Dorado County
BETHELL - DELFINO AGRICULTURE BUILDING
ROOM RESERVATION FORM

Please read the documents below and fill out the survey if you wish to reserve the conference room for your organization. You will be sent an email once your reservation has been approved.

Note #1: The Bethell-Delfino Agriculture Building is a FRAGRANCE FREE Facility. Please read the policy links below and be sure to advise your members and attendees of this policy. People may be asked to leave the building if it is not followed as we have several people working in the building that have allergies ranging from sinus issues to migraines. Thank you for your constant cooperation.

Note #2: County Policy: No animals on county premises. Please advise your members and/or attendees to leave them at home.

✻ = Required

I have read the Conference Room Facilities Use Guidelines and agree. ✻

Yes No

I have read the Fragrance Free Office Policy and agree. Please advise your members and/or attendees of this policy before your meetings. ✻

Yes No

I have viewed the Conference Room Setup Diagram and agree to the setup guidelines. ✻

Yes No

I have viewed the Bethell-Delfino Ag Building Emergency Evacutaion Map. Please be sure to share this information with your members and/or attendees.

Yes No

ORGANIZATION INFORMATION

Org./Event Contact Person: ✻

Organization Name: ✻

E-mail Address: ✻

Day Phone No.: ✻

MEETING/EVENT INFORMATION

Meeting/Event Name: ✻

Meeting Date/s: ✻

Meeting Start Time (allow for setup): ✻

Meeting End Time (allow for cleanup): ✻

Name of designee/s to pick up key: ✻

Designee/s Phone number: ✻

Locations needed: ✻

Conference Kitchen Both Conference Room and Kitchen Area

Number of attendees expected: ✻

Comments:

Survey Verification✻

For verification that you are human, please enter the following code in the box below:
RCZUFA

(if the code is not entered correctly, the survey will not be submitted)