Family Lyceum Rental Application

Family Lyceum Rental Application

located at 295 E 200 S Clearfield & 254 E 200 S Clearfield
Renter Contact Information
Organization Name *
Contact Name *

First NameLast Name
Phone Number*
Please enter a valid phone number.
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 Clearfield295 E 200 S Clearfield
Which Rooms are you interested in renting?*

Small ClassroomLarge ClassroomClassroom & KitchenetteFull level classrooms/commonsEntire building & grounds
Is this an incidental one-time use or recurring use?*

Incidental 1 timeRecurring less than 4 timesRecurring for 4-11 weeksRecurring for 12-16 weeksRecurring longer than 16 weeks
What time(s) of day are you hoping to rent your requested space:*

Week day(s) before 3pmWeek day(s) after 3pmEvening(s) after 6pmSaturday(s)
How many hours do you need your requested room(s) each use? *
Expected Occupancy *
Age of Participants*

0-5 yrs6-12 yrs13-18yrsFamily 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?
Should be Empty:

Renter Contact Information