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.
Email*
example@example.com
Please tell us about your group and event
Date of Arrival*

MonthDayYear
Date
Meals for the Arrival Date

LunchDinner
Date of Departure*

MonthDayYear
Date
Meals for the Departure Date

BreakfastLunch
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
I understand that there is a facility fee added for groups of 15 or fewer.

I understand
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 understand
I would like to offer the following housing options (subject to availability).

Camping / CommutingDorm HousingPrivate Room w/ 1 Twin BedPrivate Room w/ 2 Twin BedsPrivate Room w/ 1 Double
I understand that program fees collected (less 3% credit card fee) will be turned over at check-in.

I understand
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)

projector and screensmall sound system with microphone
I would like the following items (additional fee)

Audio / Video Live stream or program recordingAV technician during programEasel, easel pad & markersFruit or snacks in roomOther
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)

Refreshments every eveningBonfire w/ S'mores
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*

Clear
Should be Empty:

Group Rental Intake Form

General Information

Numbers

Registration Information

Program Space Requirements

Other Items