Station Room Use Agreement
Name of Organization:
*
Primary Contact Name:
*
First Name
Last Name
Primary Contact Phone #:
*
Please enter a valid phone number.
Primary Contact Email:
*
example@example.com
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Is this a new request or an existing request?
*
New Request
Existing Request (Your organization is already using one of our facilities.)
Is this request for ongoing use (e.g. every 3rd Thursday of the month)?
*
Yes
No
Other
Start Date/Time:
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
End Date/Time:
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What day/days of the week and time are you requesting?
*
Purpose of Room Use Request:
*
Approximate Number of Attendees:
*
Station/Location Requesting:
*
1st Choice
2nd Choice
STATION 3 (32 Max Occupancy) 1501 39
th
Street
STATION 4 (25 Max Occupancy) 3011 Latimer St
STATION 5 (26 Max Occupancy) 6501 Lower Miller Crk
Training Tower (Certain approved organizations only)
STATION 1 (Certain approved organizations only)
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Agreement & Signature
Please take a moment to review the guidelines listed below. Do not assume that you have the room reserved. A member of our team will review your application and respond within 3-5 business days.
I take full responsibility for ensuring that the rules governing the use of this facility are adhered to. Any damage to the facility may result in a demand for payment of the cost to repair the damage. I acknowledge receipt of the Basic Use Rules outlining my responsibilities. The group I represent and I agree to hold the Missoula Fire Department harmless in the event any accident or injury occurs within the facility or on facility grounds as a result of our use of the facility.
*
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