Form Center

2. Date and Time Requested*
   Date and Time Requested Start Date

   Date and Time Requested Start Time

   —

   Date and Time Requested End Date

   Date and Time Requested End Time

   Make sure to add in enough time to allow for set up and clean up.

   You will be charged for any time that you require over and above your rental time at a rate of $7.50/15 minutes.

4. Type of Activity*
6. Estimated Attendance
7. List reocurring meeting dates
9. Room Requested*

   1. Full Building (up to 100 People) - Resident = $50/hour ~ Non Resident = $75/hour
   2. Large Side Only (up to 64 People) - Resident = $30/hour ~ Non Resident = $50/hour
   3. Small Side Only (up to 45 People) - Resident = $20/hour ~ Non Resident = $40/hour

   $50 DEPOSIT REQUIRED TO RESERVE ROOM

11. Additional Fees

    1. Kitchen Rental - $15 flat fee if renting a room
    2. Beer and Wine Permit - $30, requires approval (1) Permit must be displayed in Community Center (2) Only Beer & Wine are allowed (3) Glass containers are not permitted
13. First Name*
14. Last Name*
16. Address1*
18. Address2
20. City*
21. State*
22. Zip*
24. Daytime Phone*
25. Evening Phone*
27. I have received a copy of the rental policies and procedures and agree to the conditions listed
29. Signature of Applicant*
30. Date*
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field