Group Rental Intake Form

Group Rental Intake Form
General Information

How can we get in touch with you?
Organization Name
Event Name
The name as it will be presented on your registration.
Primary Point of Contact

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Please tell us about your group and event
Date of Arrival

MonthDayYear
Date
Meals for the Arrival Date
Date of Departure

MonthDayYear
Date
Meals for the Departure Date
Alternate date options
Numbers

How many people are we hosting?
Estimated Number of Guests?
Estimated Number of Facilitators?
Participant Total
I understand that I am responsible for costs related to facilitator housing beyond one complimentary facilitator reservation.
I understand that there is a facility fee added for groups of 15 or fewer.
Registration Information

How will we get information about your guests?
What best describes your rental?
Please collect an additional fee of _____ $ on my behalf as a program fee.
I understand that I need to provide final numbers, housing requirements and dietary restrictions no later than 15 days prior to the start of rental.
I would like to offer the following housing options (subject to availability).
I understand that program fees collected (less 3% credit card fee) will be turned over at check-in.
Program Space Requirements

Tell us about your program space needs.
Which best describes your ideal program space?
Please Describe
I would like the following items (included in rental)
I would like the following items (additional fee)
Please Describe
Is there anything else we should know about your program space needs?
Other Items
I would like the following items during my stay (additional fee)
Date and Time?
Is there anything else we need to know about your group?
By signing below I state that I undertand and agree to the terms of the rental as outlined in my estimate and agree to abide by The Rowe Centers rules and regulations. I understand that my orginization is responsible for the behavior of its guests and facilitators and responsible for any damage caused by them.
Name of Authorized individual:

First NameLast Name
Signature
Should be Empty:

Group Rental Intake Form

General Information

Numbers

Registration Information

Program Space Requirements

Other Items