Facility Rental Request Form

School you are requesting *

Today's Date *

Group Type *

Adult Group

Youth Group

Group/Organization Name *

Contact Person *

Type of Event *

Start Date & End Date *

Please include dates you would like to start and end your booking.

Start Time & End Time *

Please include time of day you would like to start and end your booking.

Additional Notes

Include any additional information, dates or times.

# of Chairs Required (if none state 0) *

# of Tables Required (if none state 0) *

Is set up required? ($50/hour set-up fee will apply) *

Yes

Do you have additional group insurance? *

Yes

Complete Mailing Address *

Email *

Main Phone # *

Alternate Phone #

Leave Blank