Submitting this form does not reserve your date. Your reservation is confirmed only after the Chickaloon Community Council receives your full payment by mail. You will be contacted with payment instructions after your application is received. Community Center Facilities Rental Application & Agreement APPLICANT INFORMATION Applicant's Name * Applicant's Name First Name First Name Last Name Last Name Applicant's Email * Applicant's Address Applicant's Address Applicant's Address Applicant's Address City City State/Province State/Province Zip/Postal Zip/Postal Phone Number Signature signature keyboard Clear ORGANIZATION INFORMATION (if applicable) Organization Name: Type of Organization: Payer Name: (if different from Applicant) Payer Phone: (if different from Applicant) Position in Organization: Organization Email: Organization Address: Organization Address: Organization Address: Organization Address: City City State/Province State/Province Zip/Postal Zip/Postal Organization Phone Number: Alternate Phone Number: Additional Info: EVENT INFORMATION Event Start Date: * Event End Date: * Total Days: Facilities Being Used: Community Center Pavilion Expected Attendance — Adults: Expected Attendance — Youth under 18: Expected Attendance — Total Guests: Type or Purpose of Event: * If you are human, leave this field blank. Next
