Please use this form to apply for facility use. Before beginning the application, please read over the Terms and Conditions. If you have any questions, please contact us. Name* First Last Organization (if applicable)Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneDaytime Phone*Cell Phone*Email Enter Email Confirm Email Rental/Event InformationSpace Size Requested*Rental Type*One-Time UseMultiple or Repeating UseDate* Date Format: MM slash DD slash YYYY Day of Week*Start Time*Please include setup time. : HH MM AM PM End Time*Please include cleanup time. : HH MM AM PM Description of Rental Period*Please list the days and times that you would like, along with dates of the rental. If your space needs change on different days, please let us know that, too. You will have the opportunity to go into more detail when we contact you.Name of Event*Anticipated AttendanceAdults*Children*Equipment Needed Dance Floor Stage Microphones PA System Computer Lectern Projector Monitor Chairs Tables White Board Pointer Refreshments Type of Function* Youth Event Adult Party Fundraiser Private Event Other Please DescribeWill the function be catered?*YesNoWho will cater?Caterer's PhoneTerms and Conditions*Please read the Terms and Conditions page, including insurance requirements, before checking below. If you have questions, please call, email or use the form on the Contact page. I have read the Terms and Conditions page and agree to abide by all terms. EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
