Family Lyceum Rental Application
located at 295 E 200 S Clearfield & 254 E 200 S Clearfield
Renter Contact Information
Organization Name
*
Contact Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How did you hear about us?
*
Building Use Request Information
Which building are you interested in renting?
254 E 200 S Clearfield
295 E 200 S Clearfield
Which Rooms are you interested in renting?
*
Small Classroom
Large Classroom
Classroom & Kitchenette
Full level classrooms/commons
Entire building & grounds
Is this an incidental one-time use or recurring use?
*
Incidental 1 time
Recurring less than 4 times
Recurring for 4-11 weeks
Recurring for 12-16 weeks
Recurring longer than 16 weeks
What time(s) of day are you hoping to rent your requested space:
*
Week day(s) before 3pm
Week day(s) after 3pm
Evening(s) after 6pm
Saturday(s)
How many hours do you need your requested room(s) each use?
*
Please Select
1
2
3
4-6
more than 6
Expected Occupancy
*
Age of Participants
*
0-5 yrs
6-12 yrs
13-18yrs
Family Event (all ages)
Adults Only
Describe how you plan to use the building/space & any special requests or requirements.
*
If you need set-up time, specific space, or specific days/times please list here
Where have you previously rented & how long were you there?
*
Any other questions or comments?
Submit My Application
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