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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:
Non- Profit ID
Which rooms will you require?
Green Studio (Seats 24)
White Gallery (Seats 40)
Red Gallery (Seats 20)
Zen Room (Seats 25)
Blue Room (Seats 50)
Lawn Area (Seats 100)
Basement & Stage Area (Seats 80)(150 Standing)
Kitchen Prep (Stove, Oven, Fridge Storage, Microwave)
Sanctuary NOT AVAILABLE (Seats 175)(250 standing)
Room Amenities Required
AUX Audio Inputs
How many tables and chairs?
Describe your class / event... (title, about, activities,etc)
What type of event is this?
Physical Fitness Class
Visual Art / Writing Workshop
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?
Block 1 11:00am -12:30pm
Block 2 12:45pm - 2:15pm
Block 3 2:30pm -3:45pm
YOUR TIME START ____________ & END INCL SET UP TIME________ TAKE DOWN TIME__________
Which event time block(s) will you need?
How will you handle YOUR student / patron payment?
Cash at Door
How many people are you expecting?
What is the age group of attendees?
Do you have event liability insurance?
Please provide insurance limit, certificate number, and company name below.
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?
Venmo $Healium_Center Jim Peera /CASH APP $healium
Check no 3rd party checks please
Credit Card / Debit Over The Phone
In Person walk in appointment
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.
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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