SPACE RESERVATION REQUEST

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This form must be submitted a minimum of (10) working days or earlier prior to the scheduled event. A security deposit and 50% of the rental fee is required when the activity is approved and scheduled. All events require an on-site manager for an additional fee. Full payment is required prior to the start of the event. Any additional charges will be billed after the event. A copy of current rental fees is available upon request.

Email *

NOTE:

Events may be canceled by the Lodge due to weather or other emergencies.
If you have any questions please contact the Lodge’s Coordinator: Coordinator@oddfellowslodge.org

Name of Individual or Group *

Type of Organization or Group *

Registered 501(c) 3 Non-profit

Business or Group

Individual

Other:

Name of Event or Program *

Rental Space *

Main Hall and Stage

Upstairs (Banquet) Hall

Outdoor Space (Lawn/Parking lot)

Start Date of Event *

If multiple dates please include dates and times in: "Notes and comments".

YYYY

Hours of Event *

Time

Expected Number Attendees *

Will the event include participation of minors, defined as individuals under the age of 18 *

Yes

If yes, user is responsible for complying with the Protection of Minors by having an appropriate number of adult present at all times. How many adults? *

Give complete details of event and name(s) of speaker(s)/facilitator(s): *

Personal Details

I agree to be responsible for the group’s activity and conduct, to be present during hours of event. I acknowledge that cancellation of an event requires five (5) working days to prevent assessment of fees. I have read and agreed to the Hold Harmless Agreement on the reverse side of this form. I understand that use of the facilities does not constitute endorsement of the activities by the Odd Fellows Lodge. I acknowledge receipt of “Rules and Regulations."

Name of Applicant *

Applicant's Address *

Applicant's Phone Number *

Form of payment of fees :

Name of Authorized Representative: *

Date *

YYYY

Notes and Comments (if any)

A copy of your responses will be emailed to the address you provided.

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