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Class and Event Booking Form
Healium Arts Center
Event Address: 344 Candler Park Drive, Atlanta GA, 30307
Contact us at (404)-216-8877 // E: IG healiumcenteratl
Email address *
Name *
Your answer
Email *
Your answer
Organization *
Your answer
Non- Profit ID
Your answer
Which rooms will you require? *
Room Amenities Required
How many tables and chairs?
Your answer
Describe your class / event... (title, about, activities,etc) *
Your answer
What type of event is this?
How often would you like you event to occur?
Event Start date
Event End Date
What day(s) of the week do you require?
Which class time block(s) will you need? *
Which event time block(s) will you need?
How will you handle YOUR student / patron payment?
How many people are you expecting?
Your answer
What is the age group of attendees?
Do you have event liability insurance?
Please provide insurance limit, certificate number, and company name below.
Your answer
Do you already have a Meetup for this event?
What social media will you use to promote this?
How will you be settling your rental payment?
Terms & Conditions
A non-refundable reservation deposit of 50% of the rental rate is due at the time of the
reservation with the signed rental agreement. Deposits are required to secure the date of the

The balance of the reservation fee is due no later than 7 days prior to event. No exceptions.

A refundable damage deposit is required in CASH for every event as follows:
< $500 rental fee @ $100
$500-$1000 rental fee @ $200
$1000> rental fee @ $300
This deposit will be used against any damage, excessive cleaning caused by the client,
guests, or vendors. Return of this deposit shall be upon satisfactory inspection at the end of your event.

Damage Waiver:
All equipment provided to you is not to be altered, moved or modified. Renters equipment left over
night is at your own risk and Management or Facility is not responsible or liable for loss or damage.
No flammable or combustible effects will be allowed. No change to facility's structure is allowed.
All proposed enhancements to your event must be authorized in writing by Management prior to event.

ALL SALES ARE FINAL. NO refunds or exchanges will be given.

We are not responsible for money transfer charges.

No guns or weapons allowed on the premises.

We reserve the right to refuse entry to anyone not abiding by our rules

I have read and accept the above terms & conditions:

Date___________________________ X__________________________________________________(Please sign in person)
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