Reborn Ranch Facility Rental Use Request Form
Please fill out this form to request facility use, specify dates, rooms, equipment, and acknowledge guidelines.
Requester Information
Group or Individual Name
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Today's Date
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Month
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Day
Year
Date
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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The Bahamas
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Benin
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Burkina Faso
Burundi
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Montserrat
Morocco
Mozambique
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Netherlands
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Norway
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Poland
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Samoa
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eSwatini
Sweden
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Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
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Tonga
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Turkey
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Isle of Man
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Western Sahara
Yemen
Zambia
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Other
Country
Rental Dates and Attendance
Requested Use Start Date
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Month
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Day
Year
Date
Requested Use End Date
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Month
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Day
Year
Date
Time of Day Begin
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Hour Minutes
AM
PM
AM/PM Option
Time of Day End
*
Hour Minutes
AM
PM
AM/PM Option
Estimated Number of People
*
Facility and Equipment Selection
Facility Needed
*
Multi Purpose Room (Worship Center)
Living Room Area
Kitchen
Dish washing room
Front Entry Coffee Bar
Camper Hook up
Campfire pit
Pond
Camper
Pasture
Picnic Area
Cooks Quarter Suite
Horse Stalls
Indoor Riding Arena
Bunk House
Other
Equipment Needed
Sound System
Projector
TVs
Saddles
Tack
White Board/Easel
Dishes
Kitchen Ware
Percolator/Coffee
Other
Will anyone be staying overnight?
*
Yes
No
Other
Facility Costs
Pricing will be determined based on the space needed, length of stay, and whether food or staff are provided by Reborn Ranch. Final costs will be discussed and agreed upon prior to booking.For an estimate tailored to your needs, please call the ranch office at 641-630-2110.Typical pricing ranges from $150–$750.Payments can be made by check (payable to Reborn Ranch) or online through our website using the donation tab.
Activity and Policy Acknowledgments
Describe the activity to be held
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Check that you understand that no alcohol is allowed on Reborn Ranch property
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I will not have alcohol on the premises
Acknowledgment of use guidelines and applicable fees
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I acknowledge and understand the guidelines and applicable fees
Responsible party signature
*
Date
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Month
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Day
Year
Date
Submit Request
Submit Request
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