Climenhaga Homestead Guest Room Request

Messiah College alumni may complete this form to request use of facilities in the Homestead.

First Name:
Last Name:
ID Number: (if known)
Address:
City:	State:
Zip:
Country:
Phone Number:
E-mail:
Date of 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.