Ronald McDonald House near Lurie Children’s – Meeting Room Request Form

To request use of the meeting room at the Ronald McDonald House near Lurie Children’s, please complete and submit the following form. Upon receipt, you will receive a call or email to determine next steps. Please note, there is a $1,000 required donation for full day use of the room.

General Information

Group/Organization Name*

Contact Person*

Street Address*

Apt, Suite, Bldg. (optional)

City*

State/Province/Region*

Postal/Zip Code*

Country*

Phone*

Email Address*

Information About Meeting

Preferred Date - 1st Choice*

Preferred Date - 2nd Choice*

Start Time*

End Time*

Description of Meeting*

Number of Attendees*

Preferred Seating Format*

Will your group need to use A/V Equipment?*YesNo

If Yes, List Items:

Will your group have any catering deliveries?*YesNo

If Yes, please provide catering company and delivery times:

Would your group like to take a tour of the House?*YesNo

Planned Donation*

Additional Comments: