Guest Services Equipment Sheet

Event
Location
Date
Date Format: MM slash DD slash YYYY
Time

: HH

MM
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Guest Phone
Equipment
- WHEELCHAIR - Depending on event, may be available for transport purposes only
- ASSISTED LISTENING DEVICE - ID or Credit Card held until equipment is returned
- OTHER
Other (Please Explain)
Services
- INTERPRETING SERVICES - Due to availability of interpreters, minimum two week notice prior to event is required
- OTHER
Other (Please Explain)