Property Use Request Form

Property Use Request Form

All Girl Scouts Dakota Horizons Properties
Please allow up to 7 days for your request to be processed. Requests are allowed up to 6 months out from today's date.
Which facility are you requesting? *
Choose One
Handicap Accessibility Needed*
Are you a GSDH member?*

YesNo
Is this request for a Girl Scout meeting or event?*

YesNo
Start Date and Time (include set-up time)*

MonthDayYear
If more than one date is needed for troop meetings, please list here.
Time*

:HourMinutesAM/PM Option
End Date and Time (include clean-up time)*

MonthDayYear
Time*

:HourMinutesAM/PM Option
Name*

First NameLast Name
Organization
Troop #, Service Unit Name, or Event
Enter all if more than one Troop.
How many people will attend?*
Reservation Reason
Phone Number*

Area CodePhone Number
Email*
example@example.com
I confirm that I am authorized to sign this agreement for the requesting group/organization.*

I Confirm
I agree to all terms and conditions.*

I Agree
I agree to all safety and cleaning procedures.*

I Agree
Date*
Signature*

Clear
Should be Empty: