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Family Style Event Request
Family Style Event Request
Lowell Kepics
2026-03-18T11:12:45-07:00
PRIVATE DINING ROOM REQUEST
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Guest Information
Name
*
First
Last
UCLA Title
Phone
*
E-mail
*
Enter Email
Confirm Email
Campus Department or Organization (if applicable)
Event Information
Desired Event date
MM slash DD slash YYYY
Desired Event time
:
Hours
Minutes
AM
PM
AM/PM
How many guests are attending?
*
Please enter a number from
2
to
12
.
Seating Preference
Small (seats 6)
Large (seats 12)
No preference
Seating is based on restaurant occupancy/business level and is assigned the day of event.
Additional Information
Please list any dietary restrictions and special requests below (such as celebrations).
Dietary Restrictions
Special Requests
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