Rental Request Form

Rental Request

Name*
First Last
Group Name
Contact Phone*
Contact Email*
Names of Rooms Requested*
- Commercial Kitchen
- Gymnasium
- Social Room
- Meeting Room 1
- Meeting Room 2
Date of Event*
MM slash DD slash YYYY
Alternate Date
MM slash DD slash YYYY
Start Time of Event*

: Hours

Minutes

AM/PM
End Time of Event*

: Hours

Minutes

AM/PM
Reason for Event
Your room request is not confirmed until you have received an e-mail and/or verbal confirmation from our office.