Event Form

Main Moments

326 S. Main St. Stuttgart, AR 72160
REQUEST FOR EVENT
Name of Event
Type of Event
:
If “Other”, please specify:
Number of People Expected
Who is this event in honor of?
Date Reservation
Start Time (this includes set up time)

:HourMinutesAM/PM Option
End Time (this includes clean up time, unless paying cleaning fee)

:HourMinutesAM/PM Option
Will there be food catering?
Will you need my photography services during your event?
Person Completing this request

First NameLast Name
Contact Person ON SITE during event

First NameLast Name
ON SITE Contact Cell Phone Number

Area CodePhone Number
Additional questions regarding event
Responsible Party Signature
Date
Email
example@example.com
RENTAL TERMS

User Responsibility

A. The signer of the application warrants that s/he is duly authorized to act as the legal agent of the event using the building/facility, and as such, will be responsible for compliance with all conditions for use of the property and equipment.

B. The applicant agrees to indemnify and hold Main Moments harmless from any and all claims, losses, liabilities and damages arising from including, but not limited to, fines, penalties and attorney fees arising from applicant’s use of the building.

C. The applicant agrees to discard of all trash in the bins provided and return the room to original state.

General Regulations

A. The use and possession of illegal drugs by any person or group is strictly prohibited.

B. Smoking in the building is strictly prohibited.

C. Safety – All applicable fire and safety laws/regulations must be observed at all times.
Should be Empty:

Main Moments

REQUEST FOR EVENT