FACILITY RENTAL FORM

FACILITY RENTAL ONLINE FORM
Primary
Alternate
Phone Number

Area Code Phone Number
Alternate's Phone Number

Area Code Phone Number
Email
example@example.com
Alternate's Email
example@example.com
Address
Organization
Event Type

Conference Dance / Party Live Theatre Production Meeting Play Reading Wedding Other

EVENT DESCRIPTION
Event Date
Start Time
End Time
Planned Attendance Count (#)
Age Group / Special Needs of Attendees
Is there an Admission for this event?

Yes (Specify below) No
Admission Type

Pay on Site Tickets No Charge
Will you be serving alcohol?

Yes *You are responsible for obtaining SOP license, and for ensuring that proper insurance is in place No
Do you have insurance to cover this event?

Yes No
(This is a required document. Please return your Insurance Rider with this form.)

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