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 . Organizations must furnish a certificate of insurance that demonstrates a minimum of $1,000,000 in general liability coverage and that names Customer and Foundation for Seacoast Health as additionally insured. Questions or comments can be directed to 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
* all fields are required
Organization Name
name is available
name already in use

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Administrative Contact
Email Address
Phone Number
name is available
name already in use