W.E. Skelton 4-H Educational Center

Request a Proposal

Today's Date:	Potential Event Date:
Organization Name:	Number of Participants:
Contact Name:	Phone Number:
Address:	City, State, Zip:
E-mail Address:

LODGING INFORMATION:
• Will your group be lodging on site?	Yes No
• Which style of lodge does your group prefer?	Hotel Dormitory
• If dormitory, would your group like to rent bed linens?	Yes No
• What is your anticipated occupancy per room?	Single Double Triple Quadruple Five Six

MEAL INFORMATION:
What meals are your group interested in & how many days will you require each meal? (Check all that apply)	Breakfast Cont. Breakfast Brunch Lunch Dinner Picnic Hors D’oeuvres Conference Break

MEETING ROOM INFORMATION:
What type of set-up does your group require?	Theatre Style Classroom Style Round Tables U-shape Other

Does your group need break-out rooms?	Yes No

If so, how many?

What A/V Equipment does your group require? (Check all that apply)	Podium Podium with microphone Flipchart with markers Television VCR/DVD LCD Projector Overhead Projector Screen

Is your group interested in reserving outdoor facilities?(Check all that apply)	Waterfront Area Open Air Pavilion Willard Amphitheatre Campfire Circle

RECREATION INFORMATION:
Which recreation facilities is your group interested in? (Check all that apply)	Recreation Field Basketball Courts Tennis Courts Volleyball Horseshoes Hiking Fishing Miniature Golf Swimming Pool Archery Riflery Canoe/Kayak Challenge Course Climbing Wall

ADDITIONAL INFORMATION:
Please give a brief description of your event:

What is the age range of your participants?

What are your group’s estimated arrival and departure times? (Please note there are restrictions on these times during the summer.)

Do any of your guests require special needs for handicap accessibility?

Do any of your guests require special dietary needs (allergies, vegetarian, etc.)?

Does your group plan to bring alcohol on-site? Yes No

Other helpful information about this group: