Penrose House Reservation Request Please fill out each field with the requested information. Name of Meeting : Meeting Description : Name of Organization : Type of Entity : 501(c)(3) Nonprofit Government Military 501(c)(3) Tax Identification #: County in which organization operates: Organization Contact Person : Organization Contact Phone Number: Organization Contact Email Address: Are you charging for this event? : Yes No If so, how much are you charging? : For questions regarding this policy, please contact Penrose House at 719-577-7000. Requested Start Date: Requested End Date : If meeting/training event is just one day this field is not required. Penrose House is available for reservations: Tuesdays 8am-9pm; Wednesday, Thursday and Fridays 8am - 8pm; and two Saturdays a month 9am - 3pm. Open Saturdays vary from month-to-month. Please call 719-577-7000 to inquire about a specific month. Requested Start and End Times for Event: Please Note: Penrose House does require a 4 HOUR MINIMUM for use of space. Number of Expected Attendees: Room Set Up : --------- Rounds Hollow Square U-Shape Classroom Will you need any additional breakout spaces? Yes No Undecided If yes, how many spaces and how many people will each space need to accommodate? Additional Special Instructions: