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 - 4:00 pm


     

Email:

Phone:

Agency:   

Address:

City:  State:   Zip:

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 for this event or meeting, please list their name: 

Please check at least one option below. One reservation request form may be used for multiple rooms in the same timeframe.

Room Name

Seated Capacity

0-4 hours (√)

Base Usage Fee

4-9 hours (√)

Base Usage Fee

Grande Ronde Room

12

$100

$200

Tucannon Room

12

$100

$200

Columbia Room

16

$100

$200

Classroom for the Future

30$200$350

Cascade 1

24$175$300

Cascade 2

24$175$300

Cascade 3

24$175$300

Cascade 2+3

48$250$325

Cascade 1+2+3

72$350$350

Blue Mountain Room

60

$200

$350


Additional Services (please check all that apply):

Coffee Service ($6 per pot)

Number of coffee pots: 

Video Conferencing (no charge)

Computer Lab up to 20 people ($100 fee)

Rolling Dry Erase Board ($10 fee)

Tables Set Up for Catering ($50 fee)


Effective March 1, 2025, a base usage fee will be charged for the reservation and use of ESD123's conference rooms by all external partners, school districts, OSPI, or any other group requesting to use ESD123's facility. All reservations made before February 1, 2025, will be charged the rate agreed upon in the Room Use Request Form for the respective events.

To reserve a room, it is mandatory to submit Room Usage Request Forms. Reservations cannot be made via phone calls or email requests.

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 below)

TERMS/AGREEMENTS: 

  1. All meetings should be conducted during regular business hours, 7:30 AM - 4:00 PM, Monday through Friday, excluding state holidays. Be sure to include any set up/clean up time in your requested time slot.
  2. An after hours fee of $50/hour will be charged for any time that the event (including set up and clean up time) runs outside of regular business hours.
  3. Failure to cancel a reservation 2 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 specify the quantity you anticipate requiring. Additionally, you are welcome to bring your own coffee, beverages, and food. Should you require a list of local caterers, please inform us and a list can be provided.
  6. Moving furniture outside of the default room configuration requires prior approval 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 undamaged condition. After your meeting, please be sure that all trash on tables/floors is picked up and placed in the proper receptacles. Any spills, etc. must be cleaned up. Please see the ESD Facilities Manager if there are any spills on the carpet. If the room is left in an unacceptable condition, you will be invoiced 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, if the requested space is available, the room will be scheduled and you will receive a confirmation of your reservation via Outlook Calendar appointment.

If you have questions or need a hard copy form, please contact John Palomarez, Facilities Manager at R[email protected] or 509-544-5730.



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