Clubhouse Use Request Form

Clubhouse Use Request Form

For Summerfield Residents
Event Date*

MonthDayYear
Date
Time - not including set up/take down

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Event Type*

Resident Private Event - $3 per non-resident fee $300 deposit requiredSummerfield Clubs/Committees/Activities
Club/Committee/Activity Name (if applicable)
Facility Usage (check all that apply)*

KitchenBallroomLakeviewGame RoomConference Room
Total Number of People Attending
Number of People Living in Summerfield
Number of non-SCA Guests
Resident Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please verify that you are human*
This event will not be set until personal confirmation comes from the SCA Office that the space is indeed available and any required deposits are paid.
Should be Empty:

This event will not be set until personal confirmation comes from the SCA Office that the space is indeed available and any required deposits are paid.