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LRJF Pole Barn Reservation Request Form
Please complete the form below and we will get back to you within 2 business days with an answer.
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* Indicates required question
Email
*
Your email
Date Requested for Reservation
*
MM
/
DD
/
YYYY
For Additional or Recurring Reservations, please detail Dates or Frequency (e.g. weekly, monthly, etc.) below:
Your answer
Time Requested for Reservation to Start
*
Time
:
AM
PM
Time Requested Reservation will End
*
Time
:
AM
PM
Name of Organization (if any) requesting use
*
Your answer
Name of Person Reserving
*
Your answer
Number of People Expected to Attend Event
*
Your answer
Phone number of Person Reserving
*
Your answer
Are you reserving as an organization or individual?
*
Non-profit
Government/School/College
Business
Individual
Purpose of Use
*
Fundraising event
Fee event
Event NOT for fundraising and no fee charged to participants
By submitting this form I agree to:
*
Follow the rules for use of the Pole Barn
Required
I agree to:
*
To use the Pole Barn for the stated purpose
Required
I acknowledge that:
*
there will be a $100 clean up fee, if any trash is left behind.
Required
Comments or additional information we should be aware of:
Your answer
A copy of your responses will be emailed to the address you provided.
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