Otterbein Rental Request Form

Otterbein Rental Request Form
PLEASE REVIEW THE GENERAL GUIDELINES/CODE OF CONDUCT INFORMATION

AND RENTAL FEES BEFORE COMPLETING THE RENTAL REQUEST FORM.

PLEASE NOTE: This is a REQUEST FORM. Your requested event date IS NOT CONFIRMED until you receive email confirmation from the Director of Facilities.
Facility/room requested (check all that apply)*

Community Center GymCommunity Center Meeting/Small Banquet RoomCommunity Center KitchenCommunity Center Nursery/Toddler RoomCommunity Center Bounce House RoomCommunity Center Concession RoomPark PavilionOther
What facility/room are you interested in?*
First Date of Choice*

MonthDayYear
PLEASE NOTE: Reservations may be made up to 90 days prior to your event date with the exception of Wedding Receptions which will be considered on a case-by-case basis.
Second Date to consider (if necessary)*

MonthDayYear
Date
PLEASE NOTE: Reservations may be made up to 90 days prior to your event date with the exception of Wedding Receptions which will be considered on a case-by-case basis.
Is this a recurring event?*

YesNo
Please provide the recurring dates and any other information we need to know about your request for this to be a recurrent event.
Arrival Time for Setup*

AM/PM Option
Time of the Event*

AM/PM Option
Departure Time*

AM/PM Option
How many people do you expect to attend?*
What will take place at the event? (ex: birthday party, basketball, meeting, banquet, etc.)*
Your Name*

First NameLast Name
Email*
example@example.com
Day Time Phone Number*
Evening Phone Number*
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your rental for personal use or for an organization?*

PersonalOrganization
Organization Name*
Will you personally be attending the event?*

YesNo
Who will be the person in charge during the event?*

First NameLast Name
Equipment Requested:*

BasketballVolleyball Net and BallI do not need any equipment
Do you need chairs for the event?*

YesNo
How many chairs?*
Do you need tables for the event?*

YesNo
What kind of tables?*

Rectangle (30" x 96") seats 8Round (72") seats 6
How many (rectangular) tables do you need?*
How many (round) tables do you need?*
Setup of tables & chairs*

I will be setting up chairs and/or tables for the eventI would like Otterbein to set up chairs/tables for the event
Will you be cooking a meal onsite?*

YesNo
Will you be bringing in food prepared at another location and serving it from the kitchen?*

YesNo
Is this a catered event?*

YesNo
Who is the caterer?*
Do you need a microphone for the event?*

YesNo
Does your organization have liability insurance?*

YesNo
Who is your insurance carrier?*
Have you read the Community Center/Park General Guidelines and Code of Conduct and do you agree to abide by them if granted use of the facility?*

YesNo
Do you attend Otterbein Church?*

YesNo
Have you attended Otterbein Church (in-person or online) at least five times in the past three months?*

YesNo
Will you be charging admission?*

YesNo
Questions or other information you would like to communicate (optional)
By signing your name (digital) below, you assume responsibility for any and all damage to the facility and equipment during the scheduled event as well as the enforcement of the Code of Conduct.
Signature*

Clear
Full Name*

First NameLast Name
Should be Empty: