Healing Room Scheduling Request

Scheduling Request Form - Wellness Center Healing Room

Please fill out the following information to submit a Scheduling Request. Please fill out ALL fields.

Event Date(s):
Event Start Time:
Event End Time:
# People Expected:

Purpose of Function:


What you will need set up:


Contact Person:
Contact Phone:
Contact Email: (Required fields)


 

Lewis Goodhouse Wellness Center

UTTC Contact Info
& Directory
1-701-255-3285