Shelter Rental Request Form

Select a Permitted Shelter*

Primary Date Requested*

Secondary Date

Start Time*

End Time*

Type of Event*

Attendance Expected*

Rental Activity / Equipment*

Please describe facility rental use and any equipment you may need. Examples include tables, chairs, A/V equipment, or electrical.

Will there be an outside vendor providing food or equipment?

Please Note: A Certificate of Liability is required for all outside vendors.

Yes

Applicant Name*

First Name Last Name

Date of Birth*

Required for Household Set Up

Company/Organization

If Applicable

Address*

Street Address Stree Address Line 2 City State/Province Postal/Zip Code

Primary Phone*

Email Address*

Terms & Conditions*

Shelter Request Form