CHSC Facility Rental Request Form

FACILITY RENTAL REQUEST

Please use this form when inquiring about future rentals – 8 days or more from today’s date.
Name

First NameLast Name
Orgainzation Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Desired Date

MonthDayYear
Date
Desired Time

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Type of Event
Field Request ( select all that apply)
Number of Guest
Event or Additional Request Description:
Should be Empty:

FACILITY RENTAL REQUEST