First and Last Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Name
Nonprofit Organization?
Yes
No
Event Date
-
Month
-
Day
Year
Date
Event Type
Event Time
Event start time and end time should include needed time for setup and breakdown.
Event Start Time
Hour Minutes
AM
PM
AM/PM Option
Event End Time
Hour Minutes
AM
PM
AM/PM Option
Estimated number of people
Room(s) Requested
Andrews Hall
Secret Garden
Back Patio
Multi Use Space, Room 110
Rotary Kitchen
Gallery 212
Dance Studio
Art Rooms
Conference Room
Room 200, Sam Morphy Room
Other
The Lessee is responsible for any damage caused by any guest during the use of the property; therefore, lessee will cover lessor with liability insurance.
The Lessee will provide a certificate of insruance reflecting such coverage at least 5 days prior to the date of the room or space being used.
If alcohol is served, insurance must include alcohol coverage.
Would you like to be contacted about touring The Center?
Yes
No
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