Room Reservation Request Form - Dental Campus
Event Name

                                                   Multiple dates: make one reservation with the                                                    starting date and put additional dates in the comment                                                    box below.
                                                   Multiple rooms: make a separate reservation
                                                   for each room.

Choose a Date
If this is a recurring event, see below
Room Preparation Time
Event Start Time
End Time
*For special events other than regular classes, please include one hour before the event and one hour after for set-up and tear down by housekeeping.
Number of attendees
Contact Name
Contact Number
Contact E-Mail
School
Department
Additional Dates, Equipment, Preferred Room and Comments
Direct all questions/comments regarding the room request system to ds-roomrequests@lsuhsc.edu.
Available Rooms During Selected Time

Reservations for