Rental Application Form

Rental Application
Facility
First Name
Last Name
Email
Home/Cell Phone
Area CodePhone Number
Date of Event
Month - Day - Year
Time Event Starts
Hour : Minutes
Total Hours of Event
^[0-9]+(\.[0-9]{1,2})?$
Note: for 'Total Hours' enter value as a decimal. For example 1 hour 30 minutes would be entered as 1.5 or 1.50
Event Recurrence
Total Number of Events
Recurrence Details
List each date and time for each event. Number of dates/times listed must match total number of events above.
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Fee Category
- Note: all rate categories will have an additional 4% of Total Rental Cost Technology Fee added.
Organization Name
Non-Profit EIN #
Description of Event
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Open To The Public?

Yes
No
Admission Fee Charged?

Yes
No
Will Minors Be Present?

Yes
No
Will There Be Music?

Yes
No
Will Food Be Served?

Yes
No
Will Food Be Sold?

Yes
No
Will Alcohol Be Served?

Yes
No
Will Alcohol Be Sold?

Yes
No
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Accept Terms Of Use

By checking this box your are asserting that: I am an authorized agent of the organization submitting this agreement. The information provided in this agreement is true and correct. I have read and understand this agreement and agree to all of the aforementioned rules, regulations, and conditions of use.

If the total charge value is not displaying correctly try un-checking/checking the accept terms checkbox. If this value is 0 there was an error with the page, please call for assistance.
TotalCharge
Your total charge is: $
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