325 East Douglas Avenue
Wichita, Kansas 67202
Tel: 316.712.4950

Special Event Request

Basic Event Information

Host organization is in charge of registration, materials, & supplies, and returning the meeting space to the original setup/order.
MM slash DD slash YYYY
MM slash DD slash YYYY
Event Start Time(Required)
Event End Time(Required)
Are you a current partner of the Kansas Leadership Center or Kansas Health Foundation?(Required)

Meeting Space Needs

What type of space are you requesting?(Required)
Classroom, U-shape, Hollow-Square, etc.

AV Needs

Will you need AV?(Required)
Will your event have virtual attendees?(Required)
(Ie Teams, Zoom, etc.)


All catering needs must be arranged through our onsite caterer, Thyme & Thyme Again Catering.
What catering needs do you have?(Required)
Please check all that apply. *All catering options are subject to service & staffing fees per the catering contract.*

Room Rental Fees

(Suggested rate of $150/hr.)
Billing Address

Event Organization's Responsible Contact

The responsible person who will be onsite at the Kansas Leadership Center on the date(s) of the event.

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