Name: * Organization: Email: * Telephone: * (xxx)-xxx-xxxx Start Date: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 End Date: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Reservation Time (For how long do you need the space? Include set-up and cleanup time before and after the public event) Reservation Start Time: Hour Hour123456789101112 : Minute Minute00153045 am pm Reservation End Time: Hour Hour123456789101112 : Minute Minute00153045 am pm Event Time Event Start Time: Hour Hour123456789101112 : Minute Minute00153045 am pm Event End Time: Hour Hour123456789101112 : Minute Minute00153045 am pm Room Requested: Main Gallery De Colores Room (Conference Room) Library Kitchen LWAY Room Despierta Boricua Room MEChA Room Dominican Student Association (DSA) Room La Unidad Latina Room Parking Lot (outdoor space behind La Casa) If other, which room? Description of Event Your reservation is not confirmed unless you receive a confirmation email from our La Casa staff. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
