WACRH Tele / Video Conference Request Name of Video Conference::* Requester Name::* Email Address:* Please use this space to identify additional sites, special requirements, or if you would like to request recording of the session. Training Required?:* Event Details Desired location:* Connection Type:* date selector Date :* Start Time:* End Time:* Far End Contact Info Name Email: Phone NOTE: You are still required to Book the applicable venue