To request a room at the UCCE Office, please complete the survey and UCCE staff member will contact you to confirm your request.
Today's Date: ✻
First and Last Name: ✻
Phone Number: ✻
E-mail Address ✻
Your 4-H Club: ✻
Event Date and Day of the week:
Event Beginning Time:
Event Ending Time:
Number of People for Event:
Event Description:
Facility Needed:
Describe Other:
