John J. Byrne Community Center | UNIONDALE

First Name*

Last Name*

Primary Email*

Primary Phone*

Organization Name

Are you representing a company? If yes, complete this field with your official Company Name. If you are not representing a company, then please enable the switch below labeled "I'm not representing a Company".

Street Address*

City*

State*

Zipcode*

Please select the category that best describes your organization or group.

Is your organization currently an approved Partner of the John J. Byrne Community Center?

Yes

No

What type of activity are you proposing?*

What is the name or working title of your event or program?*

Please describe your proposed activity, including its purpose, target audience, and what participants will experience.*

If you already have a written proposal, program outline, or supporting materials, you may upload them here to assist our review.

Optional — Upload proposal or supporting materials (PDF, DOC/DOCX, PPT/PPTX, JPG/PNG • Max 20MB)

Who is this activity intended for?

Approximately how many participants do you expect?*

Will this activity be open to the general public?*

Yes

No

How will participants attend?

Will you be charging participants or generating revenue from this event?

Yes

No

Is this a one-time event or a recurring program?

What is your preferred event date?*

If your preferred date is unavailable, please provide an alternate date (optional).

What time would you like your event to begin?

What time do you expect your event to end?

Please estimate the total length of your event, including setup and cleanup time. If your activity spans multiple days or sessions, enter the approximate duration for each session and describe details in the schedule notes above.

Which space are you requesting? (Subject to availability)

Please describe any room setup, equipment, or special needs (tables, chairs, AV, sound, staging, food service, etc.).

Would you be open to including a brief community or local business element as part of your event?

This could include a short welcome, informational table, or brief presentation that aligns with your event and supports local community partners. This is completely optional and not required.

Yes, open to considering this

Possibly - would like to learn more

No, not for this event

If yes, which formats would you be open to? (Select any that apply)

Brief welcome or introduction (2-3 minutes)

Informational table or resource booth

Short educational talk or demo (5-10 minutes)

Printed materials or handouts

Other (please describe)

Any preferences, boundaries, or topics that would be a good fit? (Optional)

Will food or beverages be served at this event?

Yes

No

I understand and agree.

How would you prefer we contact you regarding this request?

Event Space Request Form

EVENT SPACE REQUEST FORM

Contact & Organization Information

REQUEST SPACE FOR YOUR
PROGRAM OR EVENT

Relationship

Event or Program Details

Audience & Participation

Schedule Type & Space Requirements

Communication & Promotion

Food & Beverage

Preferred Communication Method