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Recreation Center Reservation Request Form

2. Name*

3. Email Address*

5. Address*

7. City*

8. State*

9. Zip Code*

11. Phone Number*

12. Fax Number

14. Area of Rental*

    1. Red Room
    2. Blue Room
    3. Gymnasium (1/2 Court)
    4. Entire Facility (After Hours Only)

15. 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

17. Type of Event: *

    1. Birthday Party
    2. Graduation Party
    3. Family Reunion

    1. Sports Team Party
    2. Corporate Event
    3. Other

18. Other Event:

20. Approximate number of attendees:*

21. Are you having any special equipment at your event?*

    1. Yes
    2. No

22. Please specify the type of special equipment.

24. Refund Policy*

    By checking the "I agree" box below, you agree and acknowledge that refunds must be requested a minimum of 2 business days in advance and will be assessed a 20% administrative fee. Refund requests made after the event will only be issued in the event of severe weather or heavy downpour during rental hours. Refunds will not be issued in the event of extreme temperatures or light to moderate rain.

    1. I agree.
26. Electronic Signature

27. Date:
    Date:

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

* indicates a required field