Midland Shared Spaces Room Reservation Form

Please double check availability at https://calendar.midlandss.org before proceeding.
Fields with an asterisk are required

Are you an MSS Tenant?

Are you an MSS Tenant? Yes No
Is your organization a 501(c)3 nonprofit?
Organization
Event Title

This is the title that appears on the WayFinder board. Title should be something that makes it easy for attendees)
To help us make sure we are meeting the needs for your event, please give a description of what is happening at your event. (meeting, presentation(s), etc.)

(Board Meeting, Finance Committee meeting, Volunteer of the Year Banquet, etc)
From time to time, Midland Shared Spaces (MSS) would like to collect photographs of events for marketing and advertisig purposes. Please indicate if you allow MSS to take photographs of your event.

From time to time, Midland Shared Spaces (MSS) would like to collect photographs of events for marketing and advertisig purposes. Please indicate if you allow MSS to take photographs of your event. Yes No
Your Name Your Name First Last
Are you the primary contact for this meeting?

Are you the primary contact for this meeting? Yes No
Work Phone Work Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Email
Meeting contact
Meeting contact phone Meeting contact phone - ### - ### ####
Meeting contact email
Event date Event date / MM / DD YYYY
Event Start Time (do not include setup time)
Setup time needed
Event End Time (do not include clean up time)
Cleanup time needed
Number of attendees

Please note current room capacities. Adherence to 6' distancing dictates room capacities and setups.
Will this meeting happen on a regularly recurring schedule? (every third Thursday, etc.)
What is the recurrence?
Will you be serving food?
Outside Caterer

This helps MSS staff help direct catering staff to appropriate room during the event.
Will you be serving alcohol?

Serving alcohol at an event has additional requirements. Contact the MSS office for more information.
Who will be your alcohol provider?

Serving alcohol at an event has additional requirements. Contact the MSS office for more information.
What room(s) are you requesting?

What room(s) are you requesting? Conference Room (8) Board Room (18) Community Room (80) Training Room (48) Training Room Kitchen Community Room Kitchen Tenant Suite Foyer (10) The Plaza (100) The Atrium

There is a Conference Room and a Board Room on both floors. Please note current room capacities. Adherence to 6' distancing dictates room capacities and setups.
Tenant Suite
Setup
(Community Room, Training Room, Foyer only)

Setup
(Community Room, Training Room, Foyer only) Chairs Round Tables Rectangle Tables Cocktail Tables Tablecloths *MSS Tenants only*
How many chairs?
How many rectangle tables?
How many round tables?
How many cocktail tables?
How many tablecloths?
Notes (room set up requests, etc.)
Audio/Video needs - MSS Tenants

Audio/Video needs - MSS Tenants Personal Computer (installed in room) VGA/HDMI connection (for personal laptops) *not available in Conference Rooms or the Atrium* Microphone *Training & Community Room only* White boards *Not available in Community Room or Atrium* DVD Laptops (small - qty. 5) Lenovo Tablets (qty. 16) Laptops (large - qty. 8) Asus Tablets (qty. 16) Conference Phone (YeaLink) *Training & Community Room only* Speakerphone (JabraSpeak) *Training & Community Room only* Hootie Camera *Training & Community Room Only Other Other

Please see MSS website for complete description of technologies available to each room. For your convenience, we STRONGLY recommend that outside groups bring their own laptop. There is a packet available for checkout that includes assorted cables (no adapters) and a "clicker."
Audio/Video needs

Audio/Video needs Computer (installed in the room) VGA/HDMI connection (bringing a laptop) *not available in Conference Rooms or the Atrium Microphone *ONLY AVAILABLE in Training and Community Rooms White Boards *NOT AVAILABLE in Community Room or the Atrium DVD Player
Agreement and Acceptance

Please indicate your preferences and acceptance in the section below.
I accept responsibility for the use of the room, and will notify MSS staff immediately if the event changes or is cancelled. Cancellations within 3 business days of your meeting/event will result in full payment being due.

All Room Reservations & Rentals are NOT booked until you receive an email confirmation from a Midland Shared Spaces representative.

I accept responsibility for the use of the room, and will notify MSS staff immediately if the event changes or is cancelled. Cancellations within 3 business days of your meeting/event will result in full payment being due.

All Room Reservations & Rentals are NOT booked until you receive an email confirmation from a Midland Shared Spaces representative. I accept
PLEASE READ BEFORE PROCEEDING
COVID-19 is an extremely contagious disease that can lead to severe illness and death. By reserving meeting space at Midland Shared Spaces (“MSS”) or by attending an event hosted by MSS, you and any guests are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. When entering the facility, you and any guests should take all precautions deemed necessary to reduce any potential exposure to COVID-19. While in the facility, you and any guests voluntarily assume all risks related to potential exposure due to interaction with all persons present in the facility, and expressly disclaim any reliance upon information pertaining to the conditions of the facility, if any, that may result in potential exposure. You and any guest further acknowledge that an independent investigation of the potential risk of exposure had been made, and you and any guest have waived any reliance on any representations or indications concerning exposure risk in connection with you or your guests’ decision to enter the facility.

PLEASE READ BEFORE PROCEEDING
COVID-19 is an extremely contagious disease that can lead to severe illness and death. By reserving meeting space at Midland Shared Spaces (“MSS”) or by attending an event hosted by MSS, you and any guests are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. When entering the facility, you and any guests should take all precautions deemed necessary to reduce any potential exposure to COVID-19. While in the facility, you and any guests voluntarily assume all risks related to potential exposure due to interaction with all persons present in the facility, and expressly disclaim any reliance upon information pertaining to the conditions of the facility, if any, that may result in potential exposure. You and any guest further acknowledge that an independent investigation of the potential risk of exposure had been made, and you and any guest have waived any reliance on any representations or indications concerning exposure risk in connection with you or your guests’ decision to enter the facility. I have read and understand the above COVID-19 Statement.

Midland Shared Spaces Room Reservation Form

Midland Shared Spaces Room Reservation Form

Agreement and Acceptance