Climenhaga Homestead Facility Request

Messiah College alumni may complete this form to request a guest room in the Homestead.

First Name:
Last Name:
ID Number:
(if known)
Address:
City:
State: Zip:
Country:
Phone Number:
E-mail:
Date Requested:
Start Time:
End Time:
Set Up Time:
Tear Down Time:
Event:
Number Attending:
Rooms Requested:
(Ctrl + click to select
more than one)
Reason For Visit:
Use this area to explain your reason of visiting(REQUIRED).

Contact is responsible for any needs required from Dining Services or Campus Events.