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Room Use Request Form

Room Use Request Form

Room Use Request
Educational Service District 123
3924 W. Court St. Pasco, WA 99301
Phone: 509-547-8441   Fax: 509-544-5795   www.esd123.org
Hours of Operation: Monday-Friday 7:30 am - 4:30 pm


Agency:    Phone:


City:  State:   Zip:

Date Submitted:    Purpose of Meeting:

Date(s) Requested:   Time Slot Requested:

Meeting Title (as it should appear on our digital readerboard):  

Actual meeting time (as it should appear on our digital readerboard):

Number of People to attend:  

If you are currently working with an ESD 123 employee, please list their name: 

*Please check at least one option below:

Room Name

Seated Capacity

0-4 hours (√)


4-9 hours (√)


Blue Mountain Room




Sacagawea Room




Grande Ronde Room




Tucannon Room




Whitman Room




Classroom for the Future


Cascade 1


Cascade 2


Cascade 3


Cascade 2+3


Cascade 1+2+3


An after-hours fee of $100/day will apply for any meetings outside of regular business hours. Room use fees(except Cascade Rooms) are waived (for use during regular business hours M-F, 7:30 AM-4:30 PM) for OSPI and school districts located within the ESD 123 region.

Room use fees for Classroom for the Future will be discounted to the rate of Cascade 1 for any reservations where the primary participants are K-12 students.


Equipment and other services needed (please check all that apply):

Flip Chart Easel (paper not included)

Room Reconfiguration Fee ($50)


Computer Lab- Up to 20 ($100) Number Needed:

Microphone (lapel or hand held)

Video Conferencing (K-20 education only)

Presentation Laptop

Document Camera
Presentation RemoteAfter hour Tech fee: $25/hr.
Coffee Service $6/pot Number of pots:After hour room reservation: $100/day


I agree to the charges, terms and conditions listed here:


(Please enter your full name to acknowledge
that you have read and accept the terms and conditions stated on this form)



1. All meetings should be conducted during regular business hours; 7:30 AM - 4:30 PM, Monday through Friday. Please be sure to include any set up/clean up time in your requested time slot.
2. An after hours fee of $100/day will be added if the requested time slot will occur outside of regular business hours (7:30 AM - 4:30 PM, Monday through Friday excluding state holidays).
3. Failure to cancel a reservation 5 business days in advance will result in a $50 cancellation fee.
4. The ESD 123 campus (including parking lot areas) is a tobacco-free, e-cigarette free, vapor-free, drug-free and weapons-free campus.
5. The fee for coffee is per pot, approximately 1/2 gallon each. Please indicate how many you’ll need. You are also welcome to bring in your own coffee, drinks and food. In addition, if you’d like a list of local caterers, please let us know.
6. Moving furniture outside of the default room configuration requires prior approval from the ESD Event Planner and will result in a room reconfiguration fee of $50.
7. As part of the Room Use Agreement, ESD 123 expects that the room be left in a clean and un-damaged condition. After your meeting, please be sure that all trash on tables/floors is cleaned up and placed in the proper receptacles. Any spills, etc. must be cleaned up. Please see the ESD Event Planner if there are any spills on the carpet. If the room is left in an unacceptable condition, you will be invoiced a minimum fee of $50 for cleaning services.
8. Please provide a certificate of insurance form at the time of room request.
9. When the Room Use Request has been received, the room will be scheduled and you will receive a confirmation of your reservation via e-mail.

If you have questions or need a hard copy form, please contact:

Jessica Howard, Event Planner: RoomReservations@esd123.org  509-544-5750

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