Facility Reservation
Client Rental Request
Reservation ID
Reservation ID (copy)
Client Contact Name
*
First Name
Last Name
Client Organization (if applicable)
Client Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Client Email
*
example@example.com
Client or Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Date
*
-
Month
-
Day
Year
Doors Open Time
*
Hour Minutes
AM
PM
AM/PM Option
Event Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Meal Serving Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Will You Be Offering Tips Jars/Gaming At Your Event
*
Please Select
YES
NO
Number of Guests
*
Banquet Hall fits 250 comfortably, max is 294
Facilities/Amenities You Wish To Rent
*
Banquet Hall with food provided by Company 12
Banquet Hall with no food
Classroom Space
Front Grounds
Carnival Grounds (April 1 - October 31 availability)
Bar stand rental (unstocked bar; available in Banquet Hall only)
Bartender (serving under client license)
Audio Visual (Banquet Hall only; includes microphones, screens, TV projector, wireless headset)
Food Choices
*
Ala Carte Menu - paid by attendees / prepared & served by Company 12
Full Meal - choose from menu options below / prepared & served by Company 12
Food prepared offsite and brought to facility; use of sink/refrigerator/counters only
No food
Menu
*
Menu #1: Roast Beef/Baked Virgina Ham/2 Sides/Salad/Pickles/Rolls/Cake or Cupcakes - $20 per person
Menu #2: Fried Chicken/Baked Virginia Ham/2 Sides/Salad/Pickles/Rolls/Cake or Cupcakes - $20 per person
Menu #3: Meat Balls/Lasagna/Salad/Italian Bread/Salad/Pickles/Cake or Cupcakes - $20 per person
Menu #4: Stuffed Chicken Breasts w/Gravy/2 Sides/Salad/Pickles/Rolls/Cake or Cupcakes - $18 per person
Menu #5: Fried Chicken/2 Sides/Salad/Pickles/Rolls/Cake or Cupcakes - $17 per person
Menu #6: Hot Roast Beef Sandwich/2 Sides/Salad/Pickles/Rolls/Cake or Cupcakes - $17 per person
Menu #7: Hot Turkey Sandwich/2 Sides/Salad/Pickles/Rolls/Cake or Cupcakes - $17 per person
No food
Side Selections (Choose 2):
*
Mashed Potatoes
Scalloped Potatoes
Mac and Cheese
Green Beans
Peas
Succotash
Carrots
Cole Slaw
Applesauce
No additional sides (meatballs/lasagna meal)
No food
Submit
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