New User Account Form

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In order to reserve a room, you need to create a user account and meet the following criteria: New user accounts are limited to nonprofit organizations eligible for grant support from the HealthSpark Foundation or their funding partners. Organizations must furnish a certificate of insurance that demonstrates a minimum of $1,000,000 in general liability coverage and that names HealthSpark Foundation and 2506 LLC as additionally insured. Questions or comments can be directed to One Designated Trainer from Each Organization: Using a “train-the-trainer” model, every organization must designate one employee who will make reservations online for the organization and receive training on the use of the Crestron System (wireless touch panel), A/V equipment, security, phone systems and emergency protocols. Procedures for the use of the equipment will be made available to the designated person who is responsible for training and orientation of all others. CPCHHS staff is not available to set up/troubleshoot A/V issues during your meeting. Registered Users: As stated above, only one individual will serve as a point of contact for each organization. Once approved as a user, he/she will be able to book space on the online calendar using the “Room Reservation” form. The reservation form must indicate the organization name, date and times of meeting, event title, expected number attending, layout and any additional resources needed. Reservations are confirmed with the understanding that the requestor is authorized to act on behalf of the requesting organization, which accepts responsibility for the use of the facility.

Organization Information
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Organization Name
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Administrative Contact
Email Address
Phone Number
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